Active NPI
Mark T Labor, CRNA
- Certified Registered Nurse Anesthetist
- Portage, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 132420
- Practice address
- 2817 New Pinery Rd
Portage, WI 53901-9257 - Phone
- (608) 742-4131
- Fax
- (608) 742-6098
- NPI assigned
- Feb 24, 2006
- 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 | 132420 | WI | Primary |
Addresses
Primary practice location
2817 New Pinery Rd
Portage, WI 53901-9257
Mailing address
2817 New Pinery Road
PO Box 387
Portage, WI 53901-0387
Phone (608) 742-4131
Other practice location 1
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43387400 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | mlabor278996@direct-ehr-ssmhc.com | Direct | |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-9779
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
- Mile Bluff Medical Center
- SSM Health St Mary'S Hospital - Janesville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132420 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Edgerton Hospital and Health Services Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Edgerton Hospital and Health Services, Inc | Current | Accepting new patients | |
| Stateline Anesthesiologists SC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Town Square Anesthesia LLC | Past | Accepting new patients | |
| Anesthesia Associates of Wisconsin Rapids, S.C. | Past | Accepting new patients | |
| Mile Bluff Medical Center Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695
W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000
1032 E Sumner St
Hartford, WI 53027
Phone (262) 670-4300
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1050 Division St
Mauston, WI 53948
Phone (608) 847-6161
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257
Interoperability endpoints
- mlabor407429@direct-ehr-ssmhc.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 20
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Certified Registered Nurse Anesthetist
- Mauston, WI
- NPI 1922145077
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Anesthesiology Physician
- Beloit, WI
- NPI 1316937519
-
- Critical Access Hospital
- Tomah, WI
- NPI 1184765240
-
- Critical Access Hospital
- Tomah, WI
- NPI 1992970453
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mauston, WI
- NPI 1568487411
-
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1699741124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 NEW PINERY ROAD",
"address_2": "PO BOX 387",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539010387",
"telephone_number": "608-742-4131",
"fax_number": "608-742-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019257",
"telephone_number": "608-742-4131",
"fax_number": "608-742-6098"
}
],
"practiceLocations": [
{
"address_1": "700 S Park St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-251-6100",
"fax_number": "608-258-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABOR",
"first_name": "MARK",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2022-11-17",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "132420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43387400",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlabor278996@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mlabor278996@direct-ehr-ssmhc.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.