| Jordan A Mark, | |
|
Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 | |
| (912) 435-6679 | |
| Not Available |
| Full Name | Jordan A Mark |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | Winn Army Community Hospital, Fort Stewart, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275142572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2020018330 (Missouri) | Primary |
| Entity Name | Integrated Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan A Mark, Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Ph: () - | Jordan A Mark, Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Ph: (912) 435-6679 |
Phillip L Baldwin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 210-326-0244 | |
Scott Gregory Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Winn Army Community Hospital, 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6933 | |
Dean P Baynon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Winn Army Hospital, 1061 Harmon Avenue, Fort Stewart, GA 31314 Phone: 912-618-0039 | |
Ms. Denise Ann Cotton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Dr. Todd Malone, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Patrick Houston, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 |