Michael Scott Marschean, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Norwood, NY
NPI 1689675019 · NPPES record last updated Dec 23, 2016
Key facts
- NPI
- 1689675019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 652193 (TX)
- Practice address
- 26 Park St
Norwood, NY 13668-1117 - Phone
- (315) 262-6980
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1135379 | KY | MD | Certified Registered Nurse Anesthetist |
| 259645 | NC | MD | Certified Registered Nurse Anesthetist |
| 360311 | NY | MD | Certified Registered Nurse Anesthetist |
| 108520 | OK | MD | Certified Registered Nurse Anesthetist |
| 652193 | TX | MD | Certified Registered Nurse Anesthetist |
| 1242489 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton-Potsdam Hospital | Current | Accepting new patients |
Locations
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 652193 | TX | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | 360311 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 259645 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 1242489 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1135379 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 108520 | OK |
Addresses
Primary practice location
26 Park St
Norwood, NY 13668-1117
Mailing address
26 Park St
Norwood, NY 13668-1117
Phone (315) 262-6980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145107201 | Medicaid | TX |
Other providers in Norwood, NY
- Kristy Gardner
- Carolyn Ball Gibson
- Joan Gail Howlett
- Robert Evan Klein
- Living Exploring All Possibilities of St. Lawrence County Inc.
- Holly Ann Milne-Wells
- Thanh Van Nguyen
- Northwoods Furniture
- Norwood Norfolk Central School
- Margo Ellen Taylor
All providers in Norwood, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.