Mark Mikulak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP917397 Issued in FL

Practice address

2901 W Swann Ave
Tampa, FL 33609-4056

Phone

(913) 754-0467

Fax

(913) 341-5797

NPI assigned

Dec 5, 2005

Last updated

Jun 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 35)

Networks

• Freedom Health HMO Network

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.

• US Anesthesia Partners of Florida Inc.

  dba JLR Anesthesia Assoc

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1720039746

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Healthcare Career Services LLC

  • Anesthesiology Physician
  • Clearwater, FL
  • NPI 1790447910

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• James G Hankerson PA

  dba Magnolia Anesthesia Consultants

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1235332354

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pinellas County Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Dunedin, FL
  • NPI 1780253419

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Vision Anesthesia LLC

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1134740319

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Largo, FL
  • NPI 1316205339
  NPD
• Advanced Anesthesia Associates LLC

  • Anesthesiology Physician
  • Dunedin, FL
  • NPI 1124297650
  NPD (past)
• Advanced Anesthesia Specialist PLLC

  • Anesthesiology Physician
  • Largo, FL
  • NPI 1881663458
  NPD (past)
• Anesthesia and Pain Physicians of Florida, PA

  dba Pain Relief Center of Florida

  • Specialist
  • Bradenton, FL
  • NPI 1982815080
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1750365573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862506",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862506",
            "telephone_number": "913-754-0467",
            "fax_number": "913-341-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094056",
            "telephone_number": "913-754-0467",
            "fax_number": "913-341-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULAK",
        "first_name": "MARK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP917397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304744000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430080575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Adel Mikhail, MD
• Maged Mikhail, MBBCH
• Sophia Mikhail, DMD
• Natalie Nicole Mikkelson, SLP/CCC
• Beth Mikolajczak
• Samantha Ann Mikulaschek
• Sarah Milam, DPT
• Milan Medical Transport LLC
• Cynthia Marie Milanese, IDMT
• Hannah M Milano, CCC-SLP

• Certified Registered Nurse Anesthetist in Tampa, FL
• Providers in Tampa, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.