Mark R Fantauzzi, DO - Anesthesiology in Portsmouth, OH

Mark R Fantauzzi, DO is a Anesthesiology physician based in Portsmouth, Ohio. Mark R Fantauzzi is licensed to practice in Missouri (license number 110525) and his current practice location is 1219 Findlay St, Portsmouth, Ohio. He can be reached at his office (for appointments etc.) via phone at (816) 809-1724.

NPI number for Mark R Fantauzzi is 1831179084 and his current mailing address is 75 Auburn St, #1229 (attn: Medlicensure), Portland, Maine. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831179084.

Contact Information

Mark R Fantauzzi, DO
1219 Findlay St,
Portsmouth, OH 45662-3449
(816) 809-1724
Not Available

Map and Direction




Physician's Profile

Full NameMark R Fantauzzi
GenderMale
SpecialityAnesthesiology
Location1219 Findlay St, Portsmouth, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831179084
  • Provider Enumeration Date: 01/21/2006
  • Last Update Date: 08/17/2024

Medical Identifiers

Medical identifiers for Mark R Fantauzzi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831179084NPI-NPPES
249732001MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 110525 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark R Fantauzzi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark R Fantauzzi, DO
75 Auburn St, #1229 (attn: Medlicensure),
Portland, ME 04103-2103

Ph: () -
Mark R Fantauzzi, DO
1219 Findlay St,
Portsmouth, OH 45662-3449

Ph: (816) 809-1724

Reviews and Comments


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