Mark William Dantuma is a Janesville, Wisconsin based nurse practitioner with 7 years of experience in . He completed his graduation in 2017. 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 William Dantuma is 8782-33 in Wisconsin. His current practice location is 3200 E Racine St, Janesville. Patients can reach him at 608-371-8000 or can fax him at 608-371-8939. Mark William Dantuma is APNP and his NPI number (Unique professional ID assigned by NPPES) is 1407322084. Mark William Dantuma has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mark William Dantuma speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mark William Dantuma
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
APNP
Experience:
7+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
3200 E Racine St, Janesville, Wisconsin, 53546-2343
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:
0749521540
Enrollment ID:
I20190404000143
NPI Number:
1407322084
NPI Enumeration Date:
22 Oct, 2018
NPI Last Update On:
06 Nov, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark William Dantuma are as mentioned below.
License Number
Specialization
State
Status
8782-33
Wisconsin
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520208)
Janesville, WI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mark William Dantuma is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Dean Health Systems Inc (7012827983)
956
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark William Dantuma such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1407322084
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mark William Dantuma 500 W 190th St Ste 400, Gardena, California
Zip:
90248-4269
Phone Number:
714-452-1961
Patients can reach Mark William Dantuma at 3200 E Racine St, Janesville, Wisconsin or can call to book an appointment on 608-371-8000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.