Individual provider · Type 1 NPI

Mark Alan Medakovich, CRNA

Certified Registered Nurse Anesthetist · Buffalo, NY

NPI number 1780144410 Active

Practice location

Elm And Carlton Streets
Buffalo, NY 14263-1104

Mailing address

16 Ketchum Pl
Buffalo, NY 14213-2661

Other practice locations

  • 665 Elm St, Buffalo, NY 14203-1104 · (800) 767-9355

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X647277 (NY)
Certified Registered Nurse Anesthetist Primary 367500000X647277 (NY)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1780144410

Mark Alan Medakovich, CRNA's National Provider Identifier is 1780144410, issued on Mar 20, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Buffalo, NY. The record was last updated on Jan 21, 2021.