MARK D BURNS (NPI# 1912946542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912946542 |
| Entity Type | Individual |
| Full Name | MARK D BURNS |
| Credential | CRNA |
| Practice Address |
1420 London Rd Suite 100 Duluth MN 55805-2433 |
| Mailing Address |
14700 28th Ave N Suite 20 Plymouth MN 55447-4835 |
| Practice Telephone | 2187288508 |
| Mailing Telephone | 7635593779 |
| Mailing Fax Number | 7634503986 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R132680-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578647293 | Mark W. Burns | Urology | 4540 Sand Point Way Ne Ste 120, Seattle, WA 98105-3941 | 2006-10-25 |
| 1396182168 | Mark Judson Burns | Dentist | 2844 Sunset Blvd, West Columbia, SC 29169 | 2013-06-03 |
| 1053507103 | Mark Burns | Counselor | 4040 N Calhoun Rd, Suite 200, Brookfield, WI 53005-1336 | 2007-09-22 |
| 1811017205 | Mark N. Burns | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2007-03-30 |
| 1215072962 | Mark Francis Burns | Marriage & Family Therapist | 100 E Wardlow Rd, Long Beach, CA 90807-4417 | 2007-02-20 |
| 1275609943 | Mark A Burns | Psychiatry & Neurology | 189 E Austin St, Suite 105, New Braunfels, TX 78130-4104 | 2006-11-27 |
| 1194813113 | Mark Burns | Internal Medicine | 421 Huguenot St, Suite 44, New Rochelle, NY 10801-7004 | 2006-10-11 |
| 1184731325 | Mark Victor Burns | Internal Medicine | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2006-08-24 |
| 1811924483 | Mark A. Burns | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2006-06-27 |
| 1861475139 | Mark W Burns | Nurse Practitioner | 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2005-11-21 |
| Street Address |
1420 LONDON RD SUITE 100 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116942 | Sara King Downs | Audiologist | 1420 London Rd, Suite 105, Duluth, MN 55805-2433 | 2005-07-07 |
| 1851640478 | Kristy Lynn Derosia | Dental Hygienist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2012-08-29 |
| 1235467655 | Eva Grant Trueblood-pearce | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2009-11-23 |
| 1942450143 | Sara Beth Chmielewski | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2008-09-24 |
| 1821251455 | Occupational and Manual Medicine of Duluth | Preventive Medicine | 1420 London Rd, Suite 102b, Duluth, MN 55805-2433 | 2008-07-03 |
| 1114110624 | Lisa Marie Mcinally | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-08-20 |
| 1447456058 | Kara Conry | Dentist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2007-06-21 |
| 1740311067 | Northern Arm & Hand Center, Inc. | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-03-08 |
| 1477612604 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Duluth, MN 55805-2433 | 2006-12-06 |
| 1649376682 | Janice Culliton | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
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| 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 |
|---|---|---|---|---|
| 1285139865 | Levi Garrett La Porte | Nurse Anesthetist, Certified Registered | Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2018-03-27 |
| 1538326137 | Shawn C Lewis | Nurse Anesthetist, Certified Registered | 2938 Major Ridge Trl, Anesthesia Department, Duluth, GA 30097-4985 | 2008-05-21 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1215947064 | Jacalyn Ann Hoecker | Nurse Anesthetist, Certified Registered | 920 E 1st St Ste P-101, Pavilion Surgery Center, Duluth, MN 55805-2201 | 2006-08-08 |
| 1326098377 | Christopher J Lafleur | Nurse Anesthetist, Certified Registered | 3704 Allendale Ave, Duluth, MN 55803-1829 | 2006-05-11 |
| 1952360653 | Joan Eileen Jay | Nurse Anesthetist, Certified Registered | 2620 Satellite Blvd, Duluth, GA 30096-1204 | 2006-03-21 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
| 1316598949 | David Lloyd Johnson | Nurse Anesthetist, Certified Registered | 915 E 1st St, Duluth, MN 55805-2107 | 2019-09-25 |
| 1962050906 | Brandon S Percival | Nurse Anesthetist, Certified Registered | 400 E Third Street, Duluth, MN 55805-1951 | 2019-09-03 |
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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.