Mark D. Reardon in Worcester - Nurse Anesthetist, Certified Registered
Mark D. Reardon - NPI 1518971076
Mark D. Reardon is a Nurse Anesthetist, Certified Registered in Worcester, Massachusetts. Mark D. Reardon practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mark D. Reardon is 1518971076. The last update date is 2020-11-25.
Mark D. Reardon's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083343271 and fax number 5088565911. The mailing address for Mark D. Reardon is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark D. Reardon |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5083343271 |
| Fax Number | 5088565911 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1518971076 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-11-25 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5083343271 |
| Fax Number | 5088565911 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | RN228961 |
|
Definition: (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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110153947A | MA | -- | |
| 4243987 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark D. Reardon by the Centers for Medicare & Medicaid Services (CMS)?
The Mark D. Reardon has been assigned the NPI (National Provider Identifier) 1518971076. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mark D. Reardon's physical address?
The Mark D. Reardon is physically located at 55 Lake Ave N, in the city of Worcester, MA, with the postal code 16550002.
What is Mark D. Reardon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark D. Reardon is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
On what date was the 1518971076 assigned to Mark D. Reardon?
The Mark D. Reardon was issued its 1518971076 on 2006-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark D. Reardon most recently updated or revised?
The information pertaining to Mark D. Reardon, including its address, specialty, and other relevant details, was last updated or revised on 2020-11-25.