Active NPI
Mark Daniel Noorlander, CRNA
- Certified Registered Nurse Anesthetist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 90703
- Practice address
- 77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479 - Phone
- (928) 773-2505
- Fax
- (928) 773-2504
- NPI assigned
- Sep 12, 2012
- Last updated
- Jun 16, 2017
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 90703 | AZ | Primary |
Addresses
Primary practice location
77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Mailing address
77 W Forest Ave
Suite 207
Flagstaff, AZ 86001-1479
Phone (928) 773-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764113 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13660 N 94TH Dr
Suite F1
Peoria, AZ 85381-4232
Phone (480) 687-0919
6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone (602) 795-6020
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.31 of 100
- Quality
- 74.88
- Improvement activities
- 0
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90703 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ascend Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Guide Anesthesia Az LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| St Luke's Magic Valley Regional Medical Center LTD | Past | Accepting new patients | |
| Infused Health LLC | Past | Accepting new patients |
Locations
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
1840 N Jasper Dr
Ste 1
Flagstaff, AZ 86001
Phone (928) 558-7001
560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
13660 N 94th Dr
Ste F1
Peoria, AZ 85381
Phone (623) 583-2901
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1700030939
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1649164849
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
Nurse Anesthetist, Certified Registered
-
dba Arizona Anesthesia Solutions
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
dba Colorado Pain
- Pain Medicine (Anesthesiology) Physician
- Denver, CO
- NPI 1245682970
-
- Infusion Therapy Clinic/Center
- Twin Falls, ID
- NPI 1912614520
-
dba St Lukes Retail Pharmacy Twin Falls
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497571200000",
"number": "1548510019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W FOREST AVE",
"address_2": "SUITE 207",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011479",
"telephone_number": "928-773-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVE",
"address_2": "SUITE 207",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011479",
"telephone_number": "928-773-2505",
"fax_number": "928-773-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOORLANDER",
"first_name": "MARK",
"middle_name": "DANIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2017-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "90703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "764113",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; 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.