Mark J Sistrunk is a Jackson, Mississippi based nurse anesthetist with 18 years of experience as Anesthesia Administration. He completed he graduation in 2007. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark J Sistrunk is R857282 for Anesthesia Administration in Mississippi. his current practice location is 971 Lakeland Dr, Suite 202, Jackson. Patients can reach him at 601-362-1990 or can fax him at 601-362-1988. Mark J Sistrunk is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1578748455. Mark J Sistrunk is a certified 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.
Complete Profile:
Mark J Sistrunk speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
18+ years
Medical School Attended:
Other
Graduation Year:
2007
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
971 Lakeland Dr, Suite 202, Jackson, Mississippi, 39216-4643
Phone:
601-362-1990
Fax:
601-362-1988
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4082791553
Enrollment ID:
I20080408000464
NPI Number:
1578748455
NPI Enumeration Date:
09 Jan, 2008
NPI Last Update On:
09 Jan, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark J Sistrunk are as mentioned below.
License Number
Specialization
State
Status
R857282
Anesthesia Administration
Mississippi
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Mississippi Baptist Medical Center (250102)
Jackson, MS
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mark J Sistrunk has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Jackson Anesthesia Associates Pa (3870585904)
58
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark J Sistrunk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
R857282
Other
Mississippi
RN LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
971 Lakeland Dr, Suite 202 Jackson, Mississippi
Zip:
39216-4643
Phone Number:
601-362-1990
Fax Number:
601-362-1988
Patients can reach Mark J Sistrunk at 971 Lakeland Dr, Suite 202, Jackson, Mississippi or can call to book an appointment on 601-362-1990.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.