Active NPI
Mark D Plunkett, CRNA
- Certified Registered Nurse Anesthetist
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN235006
- Practice address
- 7525 California Ave
Boardman, OH 44512-5623 - Phone
- (330) 758-1954
- NPI assigned
- Jul 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN235006 | OH | Primary |
Addresses
Primary practice location
7525 California Ave
Boardman, OH 44512-5623
Mailing address
PO Box 182255
Columbus, OH 43218-2255
Phone (614) 430-5724
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0534667 | Medicaid | OH | |
| 000000139900 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000
Hospital & facility affiliations
- Surgical Hospital at Southwoods
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 71.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN235006 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regional Anesthesia Associates | Past | Accepting new patients | |
| Pain Center of Western Pennsylvania, Inc | Past | Accepting new patients | |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
Organizations & group practices 4
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.
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Nurse Anesthetist, Certified Registered
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
-
- Pain Medicine (Anesthesiology) Physician
- Hermitage, PA
- NPI 1801804612
-
- Specialist
- Sharon, PA
- NPI 1881639284
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1790715936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182255",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432182255",
"telephone_number": "614-430-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 CALIFORNIA AVE",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125623",
"telephone_number": "330-758-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUNKETT",
"first_name": "MARK",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN235006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0534667",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000139900",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.