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

Individual provider Certified Registered Nurse Anesthetist · NPI 1659642213

Mark Rothman, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Petoskey, Michigan. Qualified in 2011, 15 years ago. Practices with Munson Healthcare Charlevoix Hospital, a 54-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2012
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

602 Jackson St
Petoskey, MI 49770-2220
Phone: (231) 348-2795
Fax: (231) 348-2031
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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 4704258814 (MI)

Record details

NPI number1659642213
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 13, 2012
Last updated in NPPESJanuary 13, 2012
Mailing address602 Jackson St, Petoskey, MI 49770-2220

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Munson Healthcare Charlevoix Hospital — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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