Mark L Chance, FA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

15242 W 82ND Ter
Lenexa, KS 66219-1501

Phone

(913) 541-1228

Fax

(913) 439-1942

NPI assigned

Jun 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Premier Surgical First Assistant LLC

  • Surgical Technologist
  • Lenexa, KS
  • NPI 1194923342
  NPD (past) Authorized official

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1750587234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15242 W.82ND TERR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-541-1228",
            "fax_number": "913-439-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15242 W 82ND TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191501",
            "telephone_number": "913-541-1228",
            "fax_number": "913-439-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "FA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCRC of Lenexa, LLC
• Certified Surgical First Assistants of Kansas City
• CH Specialty Services KS LLC
• Alisha Chamberlain, PHARMD
• Nancy Jeanne Champlin
• Aubrey Chaney
• Eric Scott Chaney, PHARMD
• Petsamon Chanthalome, LMSW
• Dustin Willis Chapman
• Ronald Joseph Charity, DMD

• Surgical Technologist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Surgical Technologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.