Mark Antonio in Fairfax - Nurse Anesthetist, Certified Registered
Mark Antonio - NPI 1093798886
Mark Antonio is a Nurse Anesthetist, Certified Registered in Fairfax, Virginia. Mark Antonio practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mark Antonio is 1093798886. The last update date is 2015-04-06.
Mark Antonio's current location address is 3998 Fair Ridge Dr, Fairfax, Virginia. You can contact this provider via phone number 7032959360 and fax number 7037669725. The mailing address for Mark Antonio is 3998 Fair Ridge Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Antonio |
|---|---|
| Address | 3998 Fair Ridge Dr, Fairfax, Virginia |
| Phone Number | 7032959360 |
| Fax Number | 7037669725 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1093798886 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2015-04-06 |
Provider Mailing Address Detail
| Address | 3998 Fair Ridge Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220332921 |
| Phone Number | 7032959360 |
| Fax Number | 7037669725 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 39894 |
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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 |
|---|---|---|---|
| 430014717 | PA | RR MEDICARE | |
| 011551VKC | PA | MEDICARE (NOVITAS) |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Antonio?
The Mark Antonio has been issued the NPI (National Provider Identifier) 1093798886 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mark Antonio's physical address?
The Mark Antonio is physically located at 3998 Fair Ridge Dr, in the city of Fairfax, VA, with the postal code 220332921.
What is the Mark Antonio's area of specialization and corresponding taxonomy classification?
The Mark Antonio's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did Mark Antonio receive its 1093798886 assignment from the Centers for Medicare & Medicaid Services?
The Mark Antonio was assigned its 1093798886 on 2005-11-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mark Antonio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Antonio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-06.