Active NPI
Elizabeth C Marks, CRNA
- Certified Registered Nurse Anesthetist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R1309014
- Practice address
- 407 E 3Rd St
Duluth, MN 55805-1950 - Phone
- (218) 786-3167
- Fax
- (218) 722-8792
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- 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 | R1309014 | MN | Primary |
Addresses
Primary practice location
407 E 3Rd St
Duluth, MN 55805-1950
Mailing address
615 E Skyline Pkwy
Duluth, MN 55805-1145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558K0MA | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3390 N Campbell Ave
Suite 110
Tucson, AZ 85719-2380
Phone (520) 795-7650
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366
7566 N la Cholla Blvd
Suite B
Tucson, AZ 85741-2307
Phone (520) 547-5847
Hospital & facility affiliations
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services LLC | Current | Accepting new patients | |
| Ias Arizona PLLC | Current | Accepting new patients | |
| Southern Arizona Anesthesia Services, PC | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Past | Accepting new patients |
Locations
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
7566 N La Cholla Blvd
Ste B
Tucson, AZ 85741
Phone (520) 547-5845
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719
Phone (520) 784-2243
Organizations & group practices 4
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
- Tucson, AZ
- NPI 1689359747
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1336470475
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1912999343
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164527255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E SKYLINE PKWY",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051950",
"telephone_number": "218-786-3167",
"fax_number": "218-722-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "ELIZABETH",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1309014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "558K0MA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.