Mark D Welliver (NPI# 1174583884, PAC ID# 8628045457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1174583884 |
| PAC ID by PECOS | 8628045457 |
| Professional Enrollment ID | I20040913000341 |
| Full Name | Mark D Welliver |
| Organization Legal Name | AMELIA ANESTHESIA PL |
| Address |
1250 S 18th St Fernandina Beach FL 32034-3098 |
| Phone Number | 9043213500 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 9436394673 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1250 S 18th St, Fernandina Beach, FL 32034-3098 | 9043213500 | AMELIA ANESTHESIA PL |
| Organization Legal Name | AMELIA ANESTHESIA PL |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucia L Owens | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Walter L Shelton Iii | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Kathleen Mary Mcchristian | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Todd L Murphy | Anesthesiology | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Karilyn A Holden | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Walterene L Duby | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Jason S. Kelly | Anesthesiology | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Michael D Howington | Anesthesiology | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Joanna E Kelly | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Scott L Tanner | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Street Address |
1250 S 18TH ST |
| City | FERNANDINA BEACH |
| State | FL |
| Zip | 32034-3098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Benjamin Brenes | Family Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Lucia L Owens | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Troy Guthrie | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Walter L Shelton Iii | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Abigail Lee Mazingo | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Kathleen Mary Mcchristian | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Mary Rebecca Herbert | Nurse Practitioner | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Todd L Murphy | Anesthesiology | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Alana N Smith | Physician Assistant | Amelia Internal Medicine Pa | 1250 S 18th St, Suite 202, Fernandina Bch, FL 32034-4729 |
| Karilyn A Holden | Certified Registered Nurse Anesthetist (crna) | Amelia Anesthesia Pl | 1250 S 18th St, Fernandina Beach, FL 32034-3098 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly C Durham | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Patricia Lynne Shelly-lohman | Qualified Audiologist | 1411 S 14 St, Suite F, Fernandina Beach, FL 32034 | |
| Elizabeth Harrelson-lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Thomas P Beckerton | Chiropractic | Beckerton Chiropractic Pllc | 464073 E State Rd, 200 Suite 4, Yulee, FL 32034 |
| Joseph M Lee | Chiropractic | Lee Chiropractic Clinic Inc | 1875 A-south 14th St, Fernandina Beach, FL 32034 |
| Marcelo C Darabos | Emergency Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Dimitrios P Agaliotis | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Mathew Luke | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Carlos M Castillo | Medical Oncology | Shands Jacksonville Medical Center Inc | 1250 S 18th St, Baptist Medical Center Nassau, Fernandina Beach, FL 32034-1902 |
| Emeka J Okoli | Family Medicine | Emergency Physicians Inc | 1250 S 18th St, Fernandina Beach, FL 32034-1902 |
| Find all physicians in zip 32034 | |||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | FERNANDINA BEACH + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Mark D Welliver.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.