Active NPI
Mark W. Culp, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP113879
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- May 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 654919 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP113879 | TX | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
4916 Overton Plz
Fort Worth, TX 76109
Phone (888) 804-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174510101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (972) 422-5941
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 654919 | TX | MD | Certified Registered Nurse Anesthetist |
| AP113879 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia of North Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NTX Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| South Arlington Surgical Providers, LLC | Past | Accepting new patients | |
| Stratus Dominion Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Trinity Pain Medicine Associates PA | Past | Accepting new patients |
Locations
1001 N Waldrop Dr
Ste 701
Arlington, TX 76012
Phone (817) 265-4844
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000
713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/20286/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Waxahachie, TX
- NPI 1912410739
-
- Certified Registered Nurse Anesthetist
- Arlington, TX
- NPI 1598949661
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Arlington, TX
- NPI 1902844426
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1912350976
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1275631459
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1750331328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "4916 Overton Plz",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "76109",
"country_code": "US",
"telephone_number": "888-804-3000",
"fax_number": "817-334-0235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULP",
"first_name": "MARK",
"middle_name": "W.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "654919",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP113879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174510101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.