Active NPI
Mark Alan Cazabon, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
National Provider Identifier
1073571840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP3115612
- Practice address
- 2 Columbia Dr
Suite A327
Tampa, FL 33606-3508 - Phone
- (813) 844-4396
- Fax
- (813) 844-4972
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP3115612 | FL | Primary |
Addresses
Primary practice location
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Mailing address
6604 Ambassador Dr
Tampa, FL 33615-3404
Phone (813) 310-0974
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306686000 | Medicaid | FL | |
| 7298731 | Other | FL | AETNA |
| U4239Y | Other | FL | MEDICARE GTBA REASSIGN |
| G3698 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3115612 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Gulf to Bay Anesthesiology Associates PSC | Past | Accepting new patients | |
| North Tampa Anesthesia Consultants | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1144216433
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1184839839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277510400000",
"number": "1073571840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6604 AMBASSADOR DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336153404",
"telephone_number": "813-310-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COLUMBIA DR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063508",
"telephone_number": "813-844-4396",
"fax_number": "813-844-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAZABON",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2010-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP3115612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306686000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7298731",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GTBA REASSIGN",
"identifier": "U4239Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3698",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.