Marcos D Demoura, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

13901 Issued in TN

Practice address

818 Sunset Dr Ste 103
Johnson City, TN 37604-8310

Phone

(423) 794-3142

NPI assigned

Feb 9, 2009

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Miami Anesthesia Services LLC

  • Anesthesiology Physician
  • Aventura, FL
  • NPI 1821475179

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Office Anesthesia Staffing

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
  • NPI 1972232023

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Red Reef Anesthesia Inc

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1851169775
  Medicare reassignment
• East Tennessee Neuropathy, PC

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1649511965
  NPD (past)
• National Surgical Centers of America LLC

  dba NSCOA Port St. Lucie

  • Ambulatory Surgical Clinic/Center
  • Port St Lucie, FL
  • NPI 1346662186
  NPD (past)
• Physicians Surgery Center LLC

  dba National Spine & Ortho Surgery Center of Ft. Myers

  • Ambulatory Surgical Clinic/Center
  • Fort Myers, FL
  • NPI 1770588584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1033358544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 GLEN ALPINE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607862",
            "telephone_number": "423-741-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SUNSET DR STE 103",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048310",
            "telephone_number": "423-794-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOURA",
        "first_name": "MARCOS",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "13901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zvjezdana Dekic-Djordjevic, M.D.
• Christopher Jordan Dela Houssaye, D.O.
• Emily Dell, M.D.
• Rebecca Annette Delong, LCSW
• Reazyn Demoss, APN
• John Martin Dengler, MD
• Larry Edward Denny, DMD
• Ariel Denton, APN
• Chloe Denton, RBT
• Elizabeth Depasquale, DO

• Certified Registered Nurse Anesthetist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.