Mark Gary Graham, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9364865 Issued in FL

Practice address

4901 Grande Dr
Pensacola, FL 32504-5935

Phone

(850) 477-7042

Fax

(850) 474-9060

NPI assigned

Jul 10, 2013

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

Enrolled in FL, AL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Anesthesiologists Associated PC

  • Anesthesiology Physician
  • Birmingham, AL
  • NPI 1851371850

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ams Anesthetist Services LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1770834426

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ams Sacred Heart LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1457614851
  Medicare reassignment NPD
• Anesthesiologists Associated PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1396353280
  NPD

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

• BBH SBMC, LLC

  • General Acute Care Hospital
  • Alabaster, AL
  • NPI 1811341167
  Care Compare affiliation

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1922449727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARK",
        "middle_name": "GARY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9364865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip L. Grady, APRN/CRNA
• Julia Jean Graff, LCSW
• Caitlin E. Gragg, M.S., CCC-SLP
• Debra B Graham, RN
• Hayley Graham
• Melissa Graham, OT
• Alexis Grammer
• John Butler Grammer, MD
• Sandra E Granberry, MS
• Grand Bell Health and Beyond LLC

• Certified Registered Nurse Anesthetist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.