NPIMap

Individual provider Active NPI

Mark S. Faszholz, MD

  • Anesthesiology Physician
  • Greeley, CO
National Provider Identifier
1982683744
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36370 Issued in MO
Practice address
1801 16TH St
Greeley, CO 80631-5154
Phone
(970) 350-4819
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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 36370 MO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631-5154

Mailing address

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 350-4819

Other identifiers 1

IdentifierTypeStateIssuer
202748166MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100511000779 CO Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 7416960349 Reassigns benefits to 2 organizations
I20260528001955 WY Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 7416960349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
University of Missouri, Columbia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain State Anesthesia ProvidersGroup PAC ID 8729349444, 50 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

Hospital & facility affiliations

  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • Banner North Co Medical Center - Loveland Campus Hospital, Loveland, CO, CCN 060030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain State Anesthesia Providers Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Rocky Mountain State Anesthesia Providers Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Banner Health Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Dec 13, 2020 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Dec 13, 2020 Accepting new patients
Anesthesia Network Services, LLC Anesthesiology Past Accepting new patients
Coastal Healthcare Resources Inc Anesthesiology Past Accepting new patients
Sheridan Healthcare of Washington, PC Anesthesiology PastSince Sep 25, 2019 Accepting new patients
NWH Anesthesia Support Anesthesiology Past Accepting new patients
Anesthesia Partners, LTD. Anesthesiology Past Accepting new patients
Tahoma Anesthesiology Consultants PS Anesthesiology Past Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology Past Accepting new patients
Anesthesia Care of Henderson PC Anesthesiology Past Accepting new patients

Locations

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

5890 W 13th St
Ste 102
Greeley, CO 80634
Phone (970) 348-0090

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1982683744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-350-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-350-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASZHOLZ",
        "first_name": "MARK",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "36370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202748166",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.