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Active NPI 1659367035 Individual Practitioner Male Practitioner

Mark Etheridge , CRNA

Nurse Anesthetist, Certified Registered • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Etheridge, CRNA is a certified Nurse Anesthetist, Certified Registered practicing in Mobile, AL. With approximately 24 years of clinical experience since completing medical education in 2002, Mark Etheridge delivers high-quality medical care to the local community at 2451 FILLINGIM ST.

Mark Etheridge maintains professional affiliations with Jefferson Anesthesiologist Services Pc, St Joseph'S Physician Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for lens surgery, anesthesia for procedure on small and large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2451 Fillingim St

Mobile, AL 366172238

Telephone 2514717035
Fax 2514717042
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Mobile, AL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +8.2 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
181 Specialists

Practicing in Mobile, AL (2197 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Etheridge (24 Years) 24 Yrs
Mobile Specialty Average (15.8 Years) 15.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
11 11 $607.54 $74.64

Medical Specialties & State Licenses

Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License AL 1-080454

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
051552967 (AL)

Hospital & Practice Group Affiliations

St Joseph's Physician Health Pc

301 Prospect Ave, Syracuse, NY 132031807

Phone: 3154485111

Jefferson Anesthesiologist Services Pc

830 Washington St, Watertown, NY 136014034

Phone: 3157858509

St Joseph's Physician Health Pc

104 Union Ave, Syracuse, NY 132031843

Phone: 3154224442

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Gayle Hilburn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1154416121

Certified Registered Nurse Anesthetist

M Jason Davis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1164793584

Certified Registered Nurse Anesthetist

NPI 1174612923

Doctor of Medicine (M.D.)

David Muscat , CRNA

Nurse Anesthetist, Certified Registered

NPI 1184689374

Certified Registered Nurse Anesthetist

NPI 1184703035

Doctor of Medicine (M.D.)

James Crowder , CRNA

Nurse Anesthetist, Certified Registered

NPI 1255396453

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2017

Registered at 2451 FILLINGIM ST, MOBILE, AL 366172238 (Tel: 2514717035)

📍
Updated Business Mailing Address May 01, 2017

Registered at 5680 SHELBY LN, WILMER, AL 365876800 (Tel: 2516452529)

👤
Provider Name / Credentials Updated May 01, 2017

Recorded as MARK ETHERIDGE, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Nurse Anesthetist, Certified Registered (License #1-080454 in AL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2451 FILLINGIM ST, MOBILE, AL 366172238 (Tel: 2514717035)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5680 SHELBY LN, WILMER, AL 365876800 (Tel: 2516452529)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK ETHERIDGE, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology (License #1-080454 in AL)

🟢
Initial NPI Registration & Enumeration September 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659367035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2005
Last Update: May 01, 2017
Sole Proprietor: Yes

Mailing Address

5680 Shelby Ln

Wilmer, AL 365876800

Phone: 2516452529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.