Active NPI
M&K Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Marion, IN
National Provider Identifier
1053903716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- M&K ANESTHESIA LLC
- Practice address
- 803 W Gardner Dr
Marion, IN 46952-1819 - Phone
- (765) 651-0388
- Fax
- (765) 664-3328
- NPI assigned
- Feb 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Morris O'Bryan, CRNA
- Title
- Owner
- Phone
- (765) 651-0388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
803 W Gardner Dr
Marion, IN 46952-1819
Mailing address
PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 449-0513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Newnan, GA
- NPI 1881932788
IN, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Wayne, IN
- NPI 1841612488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1053903716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2005",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130574505",
"telephone_number": "315-449-0513",
"fax_number": "315-362-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 W GARDNER DR",
"city": "MARION",
"state": "IN",
"postal_code": "469521819",
"telephone_number": "765-651-0388",
"fax_number": "765-664-3328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M&K ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-04",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "O'BRYAN",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "MORRIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-651-0388",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.