MARK ERIK FOUTZ (NPI# 1194062885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194062885 |
| Entity Type | Individual |
| Full Name | MARK ERIK FOUTZ |
| Credential | CRNA |
| Practice Address |
2165 Herschel St Jacksonville FL 32204-3819 |
| Practice Telephone | 9043874030 |
| Practice Fax Number | 9043819808 |
| Mailing Telephone | 9043874030 |
| Mailing Fax Number | 9043819808 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9300146 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2165 HERSCHEL ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582906 | Chris John Kane | Anesthesiology | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2006-01-10 |
| 1760985782 | Dipam Jashwant Shah | Anesthesiology | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2018-03-15 |
| 1447628201 | Helen Wang | Anesthesiologist Assistant | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2015-09-10 |
| 1225428972 | Wendy Griscom | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2015-02-03 |
| 1902227218 | Michala Dawn Pelletier | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2014-01-04 |
| 1003246257 | Joyce Wallace | Registered Nurse | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-11-24 |
| 1316370349 | Weirong Zhang | Anesthesiologist Assistant | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-08-13 |
| 1033450861 | Noralyn Casiple | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-03-04 |
| 1013255819 | Bruce Anthony Wilburn | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-01-29 |
| 1841561826 | Brad Depuydt | Nurse Anesthetist, Certified Registered | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2012-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| 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 |
|---|---|---|---|---|
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1215436423 | Jenitre Shavonne Moore | Nurse Anesthetist, Certified Registered | 5885 Edenfield Rd Apt L32, Jacksonville, FL 32277-1203 | 2018-02-03 |
| 1811402407 | Aubrey Crowe | Nurse Anesthetist, Certified Registered | 1415 Windsor Pl, Jacksonville, FL 32205-7910 | 2017-12-05 |
| 1497294516 | Megan Powell | Nurse Anesthetist, Certified Registered | 13003 Springs Manor Dr, Jacksonville, FL 32258-8437 | 2017-02-22 |
| 1679017123 | Catherine Scanlon | Nurse Anesthetist, Certified Registered | 4635 Charles Bennett Dr, Jacksonville, FL 32225-1301 | 2016-12-16 |
| 1720444623 | Katrina Canady | Nurse Anesthetist, Certified Registered | 13609 Devan Lee Dr E, Jacksonville, FL 32226-5810 | 2016-01-07 |
| 1104291822 | Jenny Kambel | Nurse Anesthetist, Certified Registered | 13856 Herons Landing Way, Apt 5, Jacksonville, FL 32224-6065 | 2015-12-07 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1437540234 | Catherine Simms | Nurse Anesthetist, Certified Registered | 400 Health Park Boulevard St., Jacksonville, FL 32086 | 2015-02-16 |
| 1699164889 | Valerie Wolff Aquino | Nurse Anesthetist, Certified Registered | 8638 Stanmoor Ct, Jacksonville, FL 32244-7160 | 2015-01-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.