Mark E Spence, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

04897201471 Issued in LA

Practice address

8166 Main Street
Houma, LA 70360

Phone

(985) 873-4141

Fax

(985) 851-4307

NPI assigned

Feb 15, 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

Medicare fee-for-service enrollment

Enrolled in LA, ME2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mspence407961@direct.ochsner.org

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.

• Anesthesia Associates of Bayou Region LLC

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1679157887

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Physician Practice Partners

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1326598434

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Paeon Health Services Inc

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1568985612
  Medicare reassignment
• Mason City Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Mason City, IA
  • NPI 1902841398
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124092200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6037",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703616037",
            "telephone_number": "985-873-4235",
            "fax_number": "985-851-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN STREET",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-873-4141",
            "fax_number": "985-851-4307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Miles St",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434047",
            "country_code": "US",
            "telephone_number": "207-661-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA213080",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "04897201471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Regional Medical Corporation
• Southern Serenity Psychiatry LLC
• Southern Surgical Services, L.L.C.
• Amanda Leonor Soza, PHARM. D
• Spectrum of Possibilities, LLC
• Jacqueline B Spencer, BS, MHA
• Sportsman'S Paradise Surgical Assistants
• Krisna Srey, M.D.
• Renee St Germain, NP
• St Luke'S Surgery Center, LLC

• Certified Registered Nurse Anesthetist in Houma, LA
• Providers in Houma, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.