Individual provider Active NPI

Mark E Troendle, CRNA

  • Certified Registered Nurse Anesthetist
  • Ashland, KY
National Provider Identifier
1689641094
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3010528 Issued in KY
Practice address
1101 Lexington Avenue
Ashland, KY 41101
Phone
(606) 408-4000
Fax
(859) 269-4120
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 509832 NY
Certified Registered Nurse Anesthetist 367500000X 3010528 KY Primary

Addresses

Primary practice location

1101 Lexington Avenue
Ashland, KY 41101

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040315000418 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325937576 Reassigns benefits to 5 organizations
I20230714001313 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325937576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffiss Ec, LLCGroup PAC ID 8628249521, 14 clinicians
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

105 Dart Cir
Rome, NY 13441-4229
Phone (315) 533-5747

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Gastroenterological Associates.PC Current Accepting new patients
MVHS Inc CurrentSince May 1, 2024 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 1, 2023 Accepting new patients
Syracuse Gastroenterological Associates PC CurrentSince Apr 3, 2020 Accepting new patients
Agcny Physicians PLLC CurrentSince Dec 13, 2023 Accepting new patients
MVHS Inc CurrentSince May 1, 2024 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 1, 2023 Accepting new patients
Mason City Ambulatory Surgery Center, LLC Past Accepting new patients

Locations

620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Fl Second
Harrison, AR 72601
Phone (870) 414-4000

260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091

5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057

5000 Brittonfield Pkwy
Ste A128
East Syracuse, NY 13057
Phone (315) 446-4000

5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

739 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 470-7921

725 Irving Ave
Ofc
Syracuse, NY 13210
Phone (315) 464-6395

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

2215 Genesee St
Rm 105
Utica, NY 13501

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1689641094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LEXINGTON AVENUE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-408-4000",
            "fax_number": "859-269-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROENDLE",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "509832",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3010528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.