Mark G Asmussen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP02136 Issued in LA

Practice address

312 Grammont St
Suite 101
Monroe, LA 71201-7457

Phone

(318) 998-6138

Fax

(318) 998-6139

NPI assigned

Feb 15, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• LGH Oncology Clinic

  • Hematology & Oncology Physician
  • Ruston, LA
  • NPI 1225133622
  NPD (past)
• Smso Anesthesia, LLC

  • Anesthesiology Physician
  • Monroe, LA
  • NPI 1730134636
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1467595421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3185",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712103185",
            "telephone_number": "318-998-6138",
            "fax_number": "318-998-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "address_2": "SUITE 101",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017457",
            "telephone_number": "318-998-6138",
            "fax_number": "318-998-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASMUSSEN",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP02136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1657646",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Ash, LPC
• Ashley Medical of Monroe, Inc
• Latoria Michelle Ashley
• Sherman Ashley
• Tanasha Porter Ashley, APRN, FNP-C
• Aspirewell, LLC
• Assisted Transportation Group LLC
• Assoc for Retarded Citizens Ouachita
• Assoc for Retarded Citizens Ouachita
• Assoc for Retarded Citizens Ouachita

• Certified Registered Nurse Anesthetist in Monroe, LA
• Providers in Monroe, 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 Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.