KEVIN JAMES MALTAIS CRNA NPI 1447346499

NPI Information

  • NPI: 1447346499
  • Provider Name: KEVIN JAMES MALTAIS, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 568 RUIN CREEK RD
    SUITE 105
    HENDERSON, NC
    ZIP 27536
  • Phone: (252) 436-1380

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NPI Details

Kevin James Maltais, CRNA is a nurse anesthetist certified registered in Henderson, NC with 43 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Kevin James Maltais, CRNA NPI is 1447346499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

568 RUIN CREEK RD
SUITE 105
HENDERSON, NC
ZIP 27536-880
Phone: (252) 436-1380
Fax: (252) 436-1851

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for lens surgery (HCPCS:00142)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)

The enumeration date for this NPI number is 10/5/2006 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered0024167055VIRGINIANo
2367500000XNurse Anesthetist, Certified Registered181612NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18051607MEDICAIDNORTH CAROLINA
22352680AMEDICARE PINNORTH CAROLINA
3011998A63MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
42603782MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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