MARK THETFORD (NPI# 1104335660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104335660 |
| Entity Type | Individual |
| Full Name | MARK THETFORD |
| Practice Address |
13681 Doctors Way Fort Myers FL 33912-4300 |
| Mailing Address |
11131 Everblades Pkwy Estero FL 33928-9546 |
| Practice Telephone | 2393431000 |
| Mailing Telephone | 6188898220 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9397749 | FL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9397749 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13681 Doctors Way, Fort Myers, FL 339124300 | 2393431000 |
| Street Address |
13681 DOCTORS WAY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286686 | Gary Sauer | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-05-12 |
| 1730718735 | Lee Memorial Health System | Pharmacy | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-04-02 |
| 1730715400 | Harjot Kaur Gill | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-03-13 |
| 1942842026 | Gina Tracy Mitas | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2019-10-10 |
| 1033768304 | Sarminder Kaur | Nurse Practitioner | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2019-09-09 |
| 1417442393 | Elyza Guzman | Nurse Anesthetist, Certified Registered | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2018-06-24 |
| 1881149649 | Ryan Hire | Pharmacist | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-08-22 |
| 1508214164 | Davit Onikashvili | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-05-24 |
| 1285081315 | Mohammad Awad | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912 | 2016-05-18 |
| 1871955955 | Shobana Iyer | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924504 | Heebyeong Jang | Nurse Anesthetist, Certified Registered | 13160 Corbel Cir Apt 623, Fort Myers, FL 33907-7891 | 2019-04-01 |
| 1467946855 | Sabrina Anne Betancourt | Nurse Anesthetist, Certified Registered | 1650 Ardmore Rd, Fort Myers, FL 33901-5808 | 2018-06-19 |
| 1730672080 | Marcus Kelley | Nurse Anesthetist, Certified Registered | 8430 Village Edge Cir Apt 4, Fort Myers, FL 33919-2892 | 2018-06-12 |
| 1407347859 | Scott Castellano | Nurse Anesthetist, Certified Registered | 8041 S Woods Cir Unit 7, Fort Myers, FL 33919-2818 | 2018-05-22 |
| 1255852166 | Travis Rademaker | Nurse Anesthetist, Certified Registered | 2780 Cleveland Ave # 428, Fort Myers, FL 33901-5858 | 2017-06-30 |
| 1669825790 | Ivette Del Castillo | Nurse Anesthetist, Certified Registered | 4048 Evans Ave Ste 303, Fort Myers, FL 33901-9390 | 2016-07-13 |
| 1003298977 | Kelly Alisa Zipko | Nurse Anesthetist, Certified Registered | 17197 Johnston Dr, Fort Myers, FL 33967-2528 | 2015-06-26 |
| 1083001788 | Reuben Alimbuyao | Nurse Anesthetist, Certified Registered | 8405 Sumner Ave, Fort Myers, FL 33908-3809 | 2015-04-20 |
| 1245651439 | Anesthesia Partners of Swfl LLC | Nurse Anesthetist, Certified Registered | 8255 College Pkwy Ste 100, Fort Myers, FL 33919-5119 | 2013-12-15 |
| 1679839518 | Rosalie Pirrone | Nurse Anesthetist, Certified Registered | 15225 Briar Ridge Cir, Fort Myers, FL 33912-2304 | 2012-04-04 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.