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

Mark Thetford

Individual provider Registered Nurse · NPI 1104335660

Mark Thetford is a Certified Registered Nurse Anesthetist (CRNA) in Fort Myers, Florida. Qualified in 2013, 13 years ago. Practices with American Anesthesiology Services of Florida Inc, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone: (239) 343-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13681 Doctors Way, Fort Myers, FL 33912-4300 — (239) 343-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence ARNP9397749 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9397749 (FL)

Record details

NPI number1104335660
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESMarch 17, 2018
Mailing address11131 Everblades Pkwy, Estero, FL 33928-9546

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice American Anesthesiology Services Of Florida Inc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Myers