MARK R. FANTAUZZI


Address: 1219 Findlay St, Portsmouth, OH 45662-3449
Phone: 8168091724

MARK R. FANTAUZZI (NPI# 1831179084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831179084
Entity Type Individual
Full Name MARK R. FANTAUZZI
Credential DO
Practice Address 1219 Findlay St
Portsmouth
OH 45662-3449
Mailing Address 75 Auburn St
#1229 (attn: Medlicensure)
Portland
ME 04103-2103
Practice Telephone 8168091724
Enumeration Date 2006-01-21
Last Update Date 2010-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology 110525 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 249732001 05

Office Location

Street Address 1219 FINDLAY ST
City PORTSMOUTH
State OH
Zip Code 45662-3449

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528613346 Stacia N Boyer Nurse Practitioner 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 2019-08-08
1487210167 Rose Speier Registered Nurse 920 Gallia Street, Portsmouth, OH 45662 2019-05-17
1083123491 Megan Rhea Case Manager/Care Coordinator 901 Wahington St, Portsmouth, OH 45662 2017-09-28
1376061903 Alanna Lee Reisinger Physical Therapist 522 Glenwood Ave., New Boston, OH 45662 2017-09-04
1871010967 Nicole Lynne Johnson Counselor 800 Gallia Street Suite 600, Portsmouth, OH 45662 2017-08-29
1629595822 William Zachary Nance Counselor 800 Gallia Street, Suite 600, Portsmouth, OH 45662 2017-08-28
1962929703 Melissa Rodbell Speech-Language Pathologist 514 Union St., Portsmouth, OH 45662 2017-08-23
1346604626 Todd Davis Counselor 2954 Walnut St., Portsmouth, OH 45662 2016-04-12
1083078406 Gordon Sanders Counselor 2954 Walnut Street, Portsmouth, OH 45662 2016-04-12
1033573910 Michael L Purdy Nurse Practitioner 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 2016-04-07
Find all providers in zip 45662

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174164578 Bon Secours Medical Group Hampton Roads Specialty Care LLC Anesthesiology 3640 High St Ste 1f, Portsmouth, VA 23707-3213 2019-10-07
1740250844 Richard P Serianni Anesthesiology John Paul Jones Circle, Portsmouth, VA 23708-0001 2006-01-23
1396715413 Nolan Charles Babcock Anesthesiology Dept. Anesthesiology, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2006-01-23
1093792814 David L Kay Anesthesiology 3200 Tyre Neck Rd Ste 101, Portsmouth, VA 23703 2005-12-22
1457347791 Katrina Brown Briggs Anesthesiology 1901 Argonne Rd, Portsmouth, OH 45662-2827 2005-09-22
1306847710 Andrew Joseph Kulesza Anesthesiology 333 Borthwick Ave, Portsmouth, NH 03801-7128 2005-08-09
1275999856 Jason Kopp Anesthesiology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2016-01-12
1255750527 Anthony Steven Bradley Jr. Anesthesiology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2014-04-15
1598182693 Gregory Booth Anesthesiology 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2014-03-26
1437597697 American Pain Institute LLC Anesthesiology 14 Manchester Sq, Suite 290, Portsmouth, NH 03801-8001 2013-06-10
Find all providers in PORTSMOUTH

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City PORTSMOUTH
Zip Code 45662

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Dataset Information

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.

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