Active NPI
Michael Mark Rearick, CRNA
- Certified Registered Nurse Anesthetist
- Front Royal, VA
National Provider Identifier
1891740445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024137990
- Practice address
- 1000 N Shenandoah Ave
Front Royal, VA 22630-3547 - Phone
- (540) 636-0296
- Fax
- (540) 636-0258
- NPI assigned
- May 23, 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 | 0024137990 | VA | Primary |
Addresses
Primary practice location
1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Mailing address
759 S Main St
Woodstock, VA 22664-1127
Phone (540) 459-1287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4463 | SC | MD | Speech-Language Pathologist |
| 0024137990 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Community Hospital Inc | Past | Accepting new patients | |
| Mousam Valley Orthopaedics PA | Past | Accepting new patients | |
| Pulaski Community Hospital Inc | Past | Accepting new patients | |
| The Medical Group Department of Goodall Hospital | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
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- Internal Medicine Physician
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- NPI 1861674160
-
- General Acute Care Hospital
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- NPI 1033159934
-
- General Acute Care Hospital
- Pulaski, VA
- NPI 1295772382
-
- Orthopaedic Surgery Physician
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- NPI 1043374044
-
- Family Medicine Physician
- Kennebunk, ME
- NPI 1356356869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1891740445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 S MAIN ST",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226641127",
"telephone_number": "540-459-1287",
"fax_number": "540-459-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N SHENANDOAH AVE",
"city": "FRONT ROYAL",
"state": "VA",
"postal_code": "226303547",
"telephone_number": "540-636-0296",
"fax_number": "540-636-0258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARICK",
"first_name": "MICHAEL",
"middle_name": "MARK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024137990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Front Royal, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.