Mark A Tomczak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28118620A Issued in IN

Practice address

18221 Torrence Ave
Suite 1B
Lansing, IL 60438-2870

Phone

(708) 895-9450

Fax

(708) 895-9455

NPI assigned

May 6, 2006

Last updated

Apr 20, 2023By the provider in NPPES

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 IL, IN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Anesthesia Providers LTDGroup PAC ID 6709249006, 26 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Anesthesia Providers, LTD

  • Anesthesiology Physician
  • Mokena, IL
  • NPI 1679258388

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Ams Northern Indiana LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1427619840

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Great Lakes Anesthesia, P.C.

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1720039977
  Medicare reassignment
• American Anesthesiology Associates of Illinois, S.C.

  • Anesthesiology Physician
  • Mokena, IL
  • NPI 1962512335

  Specialist

  NPD (past)
• Interventional Pain Management, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Lansing, IL
  • NPI 1891726345
  NPD (past)
• Lakeshore Eye Physicians and Surgeons SC

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1548275985
  NPD (past)
• St Mary Therapy Services P.C

  • Physical Therapist
  • Tinley Park, IL
  • NPI 1619615002
  NPD (past)
• Windy City Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Frankfort, IL
  • NPI 1932248622

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Saint Joseph Regional Medical Center- Plymouth Campus Inc

  • General Acute Care Hospital
  • Plymouth, IN
  • NPI 1174571129
  NPD (past)
• Windy City Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Wentzville, MO
  • NPI 1447514377

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1235188533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18221 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382870",
            "telephone_number": "708-895-9450",
            "fax_number": "708-895-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18221 TORRENCE AVE",
            "address_2": "SUITE 1B",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382870",
            "telephone_number": "708-895-9450",
            "fax_number": "708-895-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28118620A",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "209002567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Piece That Fits Daycare and ABA Therapy, Inc. (The Piece that Fits Daycare and ABA Therapy)
• The Success Center
• Ollie T Thomas III
• Carmen Thompson, LCSW
• Makiyah Thurman
• Sherwyn (Terry) Top, M.A.
• Leianne Torres, M.D.
• Touched a Dream Foundation
• Elwin Denard Trammell II
• Long Hai Tran, OD

• Certified Registered Nurse Anesthetist in Lansing, IL
• Providers in Lansing, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.

Verify at the official NPI Registry.