Mark Edward Williams, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9243193 Issued in FL

Practice address

1401 S Apollo Blvd
Suite B
Melbourne, FL 32901-3179

Phone

(321) 725-5151

Fax

(321) 725-5157

NPI assigned

Mar 7, 2007

Last updated

May 19, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vero AnesthesiaGroup PAC ID 0648443010, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Vero Anesthesia

  • Anesthesiology Physician
  • Vero Beach, FL
  • NPI 1417242405
  Medicare reassignment Care Compare group NPD
• Melbourne ASC LP

  dba The Surgery Center of Melbourne

  • Ambulatory Surgical Clinic/Center
  • Melbourne, FL
  • NPI 1255311635
  Medicare reassignment NPD
• Live Oak Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Vero Beach, FL
  • NPI 1548254402
  NPD
• Piedmont Hendersonville Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Hendersonville, NC
  • NPI 1063482107
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1447380258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 N HIGHWAY A1A",
            "address_2": "UNIT 104",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032559",
            "telephone_number": "321-725-5151",
            "fax_number": "321-725-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S APOLLO BLVD",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013179",
            "telephone_number": "321-725-5151",
            "fax_number": "321-725-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9243193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BCBS G2420",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Williams, MSW
• Franklene D Williams, APRN
• Jenna Williams
• Judith Williams, ARNP
• Keneisha Dolores Keziah Williams, LCSW
• Mary T Williams
• McKevin Williams
• Michele Williams, LCSW
• Mindy Williams, ARNP
• Myesha Williams, MSN, APRN, PMHNP-BC

• Certified Registered Nurse Anesthetist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.