MARCOS S FALTAMO CRNA PC (NPI# 1538347422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538347422 |
| Entity Type | Organization |
| Organization Name | MARCOS S FALTAMO CRNA PC |
| Practice Address |
1300 Mercantile Ln Largo MD 20774-5327 |
| Mailing Address |
3640 Lyons Creek Road Dunkirk MD 20754-4000 |
| Practice Telephone | 3013170020 |
| Practice Fax Number | 3013170028 |
| Mailing Telephone | 3013170020 |
| Mailing Fax Number | 3013170028 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | MARCOS S FALTAMO (PRESIDENT) |
| Authorized Official Telephone | 3013170020 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R143174 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 631900900 | 05 | |
| DC CAREFIRST | K947 | 01 | |
| MD CAREFIRST | 358CMA | 01 | |
| DC | MEDICARE PIN | G02224 | 01 |
| GA | RAILROAD MEDICARE | DE4370 | 01 |
| Street Address |
1300 MERCANTILE LN |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522745 | Health Choice By Grace, LLC | Clinic/Center | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2019-08-06 |
| 1104306414 | Curtis Tommy Clair Jr. | Counselor | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2018-08-16 |
| 1609374610 | Medical One Solutions, Inc | Nursing Care | 1300 Mercantile Ln, 100k, Largo, MD 20774-5327 | 2018-01-24 |
| 1134662034 | Brown'scounseling & Therapeutic Services, LLC | Counselor | 1300 Mercantile Ln, Suite 141-d, Largo, MD 20774-5327 | 2016-11-24 |
| 1952756587 | Margo Renee Hammond | Social Worker | 1300 Mercantile Ln, Suite 129-35, Largo, MD 20774-5327 | 2016-05-02 |
| 1891157962 | Brandon Moseley | Counselor | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2016-03-28 |
| 1205208485 | Safe Harbor Christian Counseling | Psychologist | 1300 Mercantile Ln, Largo, MD 20774-5327 | 2015-10-27 |
| 1417344896 | Community Counseling & Mentoring Services, Inc. | Clinic/Center | 1300 Mercantile Ln, Suite 208, Largo, MD 20774-5327 | 2015-04-23 |
| 1164853669 | My Covenant Place | Community/Behavioral Health | 1300 Mercantile Ln, Suite 123, Largo, MD 20774-5327 | 2013-12-09 |
| 1366871907 | Salim Bilal Edwards | Counselor | 1300 Mercantile Ln, 139-r, Largo, MD 20774-5327 | 2013-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619274107 | Advanced Anesthesia of The West Coast LLC | Nurse Anesthetist, Certified Registered | 7300 Bryan Dairy Rd Ste 495, Largo, FL 33777-1544 | 2011-02-17 |
| 1790868354 | Therese Ann Conner | Nurse Anesthetist, Certified Registered | 10761 125th Ave, Largo, FL 33778-2712 | 2006-10-24 |
| 1508834771 | Kathryn Andolina | Nurse Anesthetist, Certified Registered | 7300 Bryan Dairy Rd, Anesthesia Dept, Largo, FL 33777-1534 | 2006-03-14 |
| 1457981854 | Tiffany Coulter | Nurse Anesthetist, Certified Registered | 201 14th St Sw, Largo, FL 33770-3133 | 2020-01-24 |
| 1770045551 | Compassionate Anesthesia Care LLC | Nurse Anesthetist, Certified Registered | 7300 Bryan Dairy Rd Ste 495, Largo, FL 33777-1544 | 2019-04-02 |
| 1245727080 | Cody Wallace Aucoin | Nurse Anesthetist, Certified Registered | 201 14th St Sw, Largo, FL 33770 | 2018-04-17 |
| 1407059140 | Maxine A Kelly | Nurse Anesthetist, Certified Registered | 1301 2nd Ave Sw, Diagnostic Clinic, Largo, FL 33770-3120 | 2007-06-08 |
| 1871619684 | Dori Jakubek Weigel | Nurse Anesthetist, Certified Registered | 2025 Indian Rocks Rd S, Largo, FL 33774-1035 | 2007-03-22 |
| 1508884867 | Angela Faye Baldwin | Nurse Anesthetist, Certified Registered | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2006-07-17 |
| 1750319141 | Donald S. Moyer | Nurse Anesthetist, Certified Registered | 1551 W Bay Dr, Largo, FL 33770-2209 | 2006-06-28 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.