MARK RICHARD DIRIENZO CRNA
NPI 1417069865
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Active since August 31, 2006
145 KIMEL PARK DR, SUITE 300, WINSTON SALEM, NC 27103(336) 768-3212(336) 768-9019 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Richard Dirienzo Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK RICHARD DIRIENZO CRNA (NPI 1417069865) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (093106) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417069865
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK RICHARD DIRIENZOCredential: CRNA
Location Address145 KIMEL PARK DR, SUITE 300Winston Salem, NC 27103-6984
Mailing Address145 Kimel Park Dr, Suite 300Winston Salem, NC 27103-6984 · (336) 768-3212 · Fax (336) 768-9019
Fax(336) 768-9019
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417069865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NC · 093106
Definition

(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.

145 KIMEL PARK DR, Winston Salem, NC 27103

Other Identifiers 3

Medicare ID-Type Unspecified261022ENC
OtherP00188304Rr Medicare
Medicaid8049908NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
145 KIMEL PARK DR, SUITE 300
WINSTON-SALEM, NC 27103
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON-SALEM, NC 27103
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR, SUITE 100
WINSTON SALEM, NC 27103
Anesthesiology
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Anesthesiology
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103
Anesthesiology
145 KIMEL PARK DR, SUITE 300
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417069865, enumerated as an "individual" on August 31, 2006.

The provider is located at 145 KIMEL PARK DR SUITE 300 WINSTON SALEM, NC 27103 and the phone number is (336) 768-3212.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.