Mark S. Donnell, MD
Individual provider Active NPI Anesthesiology Physician · Silver City, NM
NPI 1720048895 · NPPES record last updated Jul 28, 2010
Key facts
- NPI
- 1720048895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 92-209 (NM)
- Practice address
- 1313 E. 32ND St
Silver City, NM 88061 - Phone
- (575) 388-1591
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92-209 | NM | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 92-209 | NM | Yes |
Addresses
Primary practice location
1313 E. 32ND St
Silver City, NM 88061
Mailing address
205 W. Boutz Rd. BLDG #1
Las Cruces, NM 88005
Phone (575) 532-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F8282 | Medicaid | NM |
Other providers in Silver City, NM
- Gloria Ruth Dirmeyer
- Robert Paul Doherty
- Elizette Dominguez
- Dona Ana Medical Supply
- Donald J Stinar MD
- Melissa Dozier
- Dr G Scott Smith PC
- Dr Pat Rowan PSYD Inc
- Dr. Amalia Humada-Ludeke, LMFT
- Dr. Rhonda K. Van Dran , O.D.,P.C.
All providers in Silver City, NM · Anesthesiology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2010. 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.