Mark Richard Baller, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

175201 Issued in CO

Practice address

10102 Bluffmont LN
Lone Tree, CO 80124-5570

Phone

(303) 799-6859

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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 and National Provider Directory roles.

• Guardian Anesthesia Services, Inc

  • Anesthesiology Physician
  • Parker, CO
  • NPI 1013946797

  CO

  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321

  CO

  Medicare reassignment NPD
• Optumcare Colorado Medical Group LLC

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1407252828

  CO

  Medicare reassignment NPD
• Southern Colorado Crna Associates Inc

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
  • NPI 1043538382

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  • Critical Access Hospital
  • Fraser, CO
  • NPI 1093546996
  NPD
• Optumcare Colorado Medical Group LLC

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1922893478
  NPD
• Assured Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Garland, TX
  • NPI 1396022927

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Garland Anesthesia Consultants, PA

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1710047840
  NPD (past)
• Health Texas Provider Network, Crna

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1710982335
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1083671986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 BLUFFMONT LN",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245570",
            "telephone_number": "303-799-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 BLUFFMONT LN",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245570",
            "telephone_number": "303-799-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLER",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "541986",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "175201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77228219",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Bailey, PA-C
• Richard Sheldon Bakalar, M.D.
• Elizabeth A Baker, MD
• Shannon Baker
• Holly Baller, DDS
• Monisha Banerjee, M.D.
• Wendy J. Bannigan, DO
• Cameron Jay Banning, DO
• Sylvia Banov, PT
• Brooks Barefoot

• All providers in Lone Tree, CO
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.

Verify at the official NPI Registry.