Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Fortygin, CRNA

Individual provider Registered Nurse · NPI 1770154841

Dr. Mark Fortygin, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Rochester, New York. Qualified in 2023, 3 years ago. Practices with U of R Anesthesiology Group, a 336-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
3
Licensed in
NC, NY
In the registry since
2021
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-1385
Fax: (585) 244-7271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 144048 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 324440 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 734592 (NY)

Record details

NPI number1770154841
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 8, 2021
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice U Of R Anesthesiology Group — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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