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

Individual provider Certified Registered Nurse Anesthetist · NPI 1659367035

Mark Etheridge, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mobile, Alabama. Qualified in 2002, 24 years ago. Practices with St Joseph's Physician Health PC, a 124-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
24
Licensed in
AL
In the registry since
2005
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

2451 Fillingim St
Mobile, AL 36617-2238
Phone: (251) 471-7035
Fax: (251) 471-7042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1-080454 (AL)

Record details

NPI number1659367035
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 21, 2005
Last updated in NPPESMay 1, 2017
Mailing address5680 Shelby Ln, Wilmer, AL 36587-6800

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice St Joseph'S Physician Health Pc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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