Individual provider Active NPI

Mark William Gremillion, CRNA

  • Certified Registered Nurse Anesthetist
  • Marksville, LA
National Provider Identifier
1700917242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP01822 Issued in LA
Practice address
4231 Highway 1192
Marksville, LA 71351-4711
Phone
(318) 253-8611
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP01822 LA Primary

Addresses

Primary practice location

4231 Highway 1192
Marksville, LA 71351-4711

Mailing address

PO Box 70
Plaucheville, LA 71362-0070
Phone (318) 253-8611

Other identifiers 1

IdentifierTypeStateIssuer
1391298MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000084 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325162415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sayer and Soileau Anesthesia LLCGroup PAC ID 1254629223, 8 clinicians

Practice addresses (Care Compare)

107 Front St
Vidalia, LA 71373-2836
Phone (318) 336-2218

4231 Hwy 1192
Marksville, LA 71351-4711
Phone (318) 253-8611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00LAMDCase Manager/Care Coordinator
AP01822LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sayer & Soileau Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2017 Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc PastSince Jul 1, 1995 Accepting new patients

Locations

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

107 Front St
Vidalia, LA 71373
Phone (318) 336-2216

4100 International Plz
Ste 600
Ft Worth, TX 76109
Phone (817) 468-4000

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700917242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "PLAUCHEVILLE",
            "state": "LA",
            "postal_code": "713620070",
            "telephone_number": "318-253-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 HIGHWAY 1192",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514711",
            "telephone_number": "318-253-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMILLION",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP01822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391298",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.