Mark E Unzicker, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209000436 Issued in IL

Practice address

611 W. Park St.
Anesthesiology
Urbana, IL 61801

Phone

(217) 383-3141

Fax

(217) 383-3265

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Williamsport HospitalGroup PAC ID 4486636776, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Williamsport Hospital, Williamsport, IN, CCN 151307

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• St. Vincent Williamsport Hospital

  • Critical Access Hospital
  • Williamsport, IN
  • NPI 1518913565
  Medicare reassignment Care Compare group NPD
• Hoopeston Community Memorial Hospital

  • Critical Access Hospital
  • Hoopeston, IL
  • NPI 1366480873
  Medicare reassignment NPD
• Carle Health Care Incorporated

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947
  Medicare reassignment
• Hoopeston Community Memorial Hospital

  • Medical-Surgical Registered Nurse
  • Hoopeston, IL
  • NPI 1457422164
  NPD
• Hoopeston Community Memorial Hospital

  • Rural Health Clinic/Center
  • Hoopeston, IL
  • NPI 1578504544
  NPD
• St. Vincent Williamsport Hospital

  • Critical Access Hospital Clinic/Center
  • Williamsport, IN
  • NPI 1841233061
  NPD
• Gibson Community Hospital Association

  • Community/Retail Pharmacy
  • Gibson City, IL
  • NPI 1245105535
  NPD (past)
• Premier Anesthesia of Danville

  • Anesthesiology Physician
  • Danville, IL
  • NPI 1366517583
  NPD (past)

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

• St. Vincent Williamsport Hospital

  • Critical Access Hospital
  • Williamsport, IN
  • NPI 1518913565
  Care Compare affiliation

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1881759967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "ANESTHESIOLOGY",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-383-3141",
            "fax_number": "217-383-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNZICKER",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000436",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28119666A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Illinois at Urbana-Champaign
• University of Illinois College of Medicine
• University of Illinois Urbana-Champaign
• University Rehabilitation Center of C-U LLC
• Caleb Andrew Unzicker, MS, ATC/L
• Urbana School District No 116
• Ikechukwu L Uzoaru, MD
• Srijan Valasapalli, MD
• Rajajitendra Varma Vanapala, PT
• Alyssa Vancardo, DO

• Certified Registered Nurse Anesthetist in Urbana, IL
• Providers in Urbana, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.