Individual provider Active NPI

Mark Stafford Floyd, M.D.

  • Anesthesiology Physician
  • Bloomington, IN
National Provider Identifier
1801802087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01039462 Issued in IN
Practice address
601 W 2ND St
Bloomington, IN 47403-2317
Phone
(812) 334-8958
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01039462 IN Primary

Addresses

Primary practice location

601 W 2ND St
Bloomington, IN 47403-2317

Mailing address

908 N Walnut St
Bloomington, IN 47404-3525
Phone (812) 334-8958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000869 IN Practitioner - Anesthesiology 7315941440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Anesthesiologists PCGroup PAC ID 6204740988, 39 clinicians

Practice addresses (Care Compare)

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9147

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01039462INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Anesthesiologists PC Anesthesiology CurrentSince Jul 1, 1995 Accepting new patients
Roger B Bailey LLC Past Accepting new patients
Wound Care Center, LLC Past Accepting new patients

Locations

445 S Landmark Ave
Bloomington, IN 47403
Phone (812) 353-3450

2907 S McIntire Dr
Bloomington, IN 47403
Phone (812) 332-8765

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

2800 Rex Grossman Blvd
Bloomington, IN 47403
Phone (800) 841-4938

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

1011 W 2nd St
Bloomington, IN 47403
Phone (812) 334-1213

2400 Northpark Dr
Columbus, IN 47203

2425 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 657-7800

6920 Gatwick Dr
Ste 100
Indianapolis, IN 46241
Phone (317) 821-0000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801802087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043525",
            "telephone_number": "812-334-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032317",
            "telephone_number": "812-334-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "MARK",
        "middle_name": "STAFFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01039462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.