Mark Gubichuk, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

110276 Issued in OK

Practice address

1120 S Utica Ave
Tulsa, OK 74104-4012

Phone

(316) 644-5755

NPI assigned

Sep 14, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX, CO3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Hospitalist Medicine Physicians of Colorado - Denver PCGroup PAC ID 3577073402, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Hospital Hospital, Denver, CO, CCN 060028
• Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057

Merit-based Incentive Payment System (MIPS)

Final score

85.12 of 100Reported as group

Quality

83.76

Promoting interoperability

100

Improvement activities

40

Cost

56.64

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 and National Provider Directory roles.

• Creek Nation Hospital & Clinics

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Colorado - Denver PC

  • Anesthesiology Physician
  • Denver, CO
  • NPI 1588453575
  Medicare reassignment Care Compare group
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923

  Single Specialty

  Medicare reassignment NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  OK, Single Specialty

  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  • Rehabilitation Hospital
  • Okmulgee, OK
  • NPI 1891197224
  NPD
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Creek Nation Hospital & Clinics

  • Long Term Care Hospital
  • Okmulgee, OK
  • NPI 1376979955
  Care Compare affiliation
• Creek Nation Hospital & Clinics

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1902236573
  Care Compare affiliation
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1164071296
  Care Compare affiliation
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1417946021
  Care Compare affiliation
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Northglenn, CO
  • NPI 1427607464
  Care Compare affiliation
• Saint Joseph Hospital, Inc

  • General Acute Care Hospital
  • Aurora, CO
  • NPI 1619526746
  Care Compare affiliation

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1487022026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 S MARION AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143428",
            "telephone_number": "316-644-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "316-644-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBICHUK",
        "first_name": "MARK",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "110276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Anesthesia Services, PC
• Guardian Pharmacy of Tulsa, LLC
• Rosa Linda Guardiola
• Anthony R Guariglia, MD
• Cara Guariglia, M.D.
• Dana Gudgel, M.A.
• Regan L Gudgel, CRNA
• Pamela Guenther, PT
• Andres Guerra, M.D.
• Ann Guerrero

• Certified Registered Nurse Anesthetist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.