Mark A Kossick, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

036721 Issued in NC

Practice address

1459 Sand Hill Rd
Office 618
Candler, NC 28715-8943

Phone

(828) 670-8810

Fax

(828) 670-8816

NPI assigned

Sep 27, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Carolina Anesthesia Group PLLC

  • Anesthesiology Physician
  • Mount Airy, NC
  • NPI 1497996672
  NPD (past)
• Park Ridge Anesthesiology Services, PA

  • Anesthesiology Physician
  • Hendersonville, NC
  • NPI 1447276332

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Cardiac Anesthesia Group

  • Pain Medicine (Anesthesiology) Physician
  • Jackson, TN
  • NPI 1043309271
  NPD (past)
• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Council Bluffs, IA
  • NPI 1639687114

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Professional Anesthesia Associates

  • Anesthesiology Physician
  • Jackson, TN
  • NPI 1568571743
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1942296744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 SAND HILL RD",
            "address_2": "OFFICE 618",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158943",
            "telephone_number": "828-670-8810",
            "fax_number": "828-670-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 SAND HILL RD",
            "address_2": "OFFICE 618",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158943",
            "telephone_number": "828-670-8810",
            "fax_number": "828-670-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSICK",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "237443",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "036721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3634832",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Martin Kelly
• Mia Xiaoli Kelton
• Zack Kemp, PT
• Susan Klein, APRN, PMHNP
• Oksana Kolodich, CNA
• Cameron John Kurowski, MD
• Sidnie Lamotte, DPT
• Mikayla Adele Laporte
• Catherine Lawrence
• Jacob Douglas Lawrence, LCSW

• Certified Registered Nurse Anesthetist in Candler, NC
• Providers in Candler, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.