Active NPI
Mark D Tran, MD
- Anesthesiology Physician
- Davenport, FL
National Provider Identifier
1396726451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME90208
- Practice address
- 40100 Highway 27
Davenport, FL 33837-5906 - Phone
- (863) 422-4971
- NPI assigned
- Nov 7, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME90208 | FL | Primary |
Addresses
Primary practice location
40100 Highway 27
Davenport, FL 33837-5906
Mailing address
8390 Champions Gate Blvd
Suite 306
Champions Gate, FL 33896-8310
Phone (407) 390-1677
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90208 | FL | MD | Anesthesiology Physician |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1396726451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD",
"address_2": "SUITE 306",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968310",
"telephone_number": "407-390-1677",
"fax_number": "407-390-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40100 HIGHWAY 27",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338375906",
"telephone_number": "863-422-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "MARK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME90208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.