CHARLES R MACK CRNA
NPI 1780786053
Nurse Anesthetist, Certified Registered in West Seneca, NY

Q: What is Charles Mack's NPI number?

The NPI number for Charles Mack is 1780786053. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Q: What is Charles Mack's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 05, 2006

4185 SENECA ST, SUITE 11, WEST SENECA, NY 14224(716) 674-8189(716) 712-0469 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Charles R Mack Crna NPPES

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

CHARLES R MACK CRNA (NPI 1780786053) is an individual nurse anesthetist, certified registered in West Seneca, New York, licensed in New York (293597-1) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1780786053

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCHARLES R MACKCredential: CRNA

Location Address4185 SENECA ST, SUITE 11West Seneca, NY 14224-3565

Mailing Address4185 Seneca Street, Suite 11West Seneca, NY 14224 · (716) 674-8189 · Fax (716) 712-0469

Phone(716) 674-8189

Fax(716) 712-0469

Sole ProprietorNo

Enumeration DateSeptember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780786053 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 NY · 293597-1

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.

4185 SENECA ST, West Seneca, NY 14224

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Other Identifiers 1

Medicare ID-Type UnspecifiedBB3301NY · Upstate Medicare Division

Other Providers at the Same Location NPPES 6

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

WAYNE A JONES CRNA