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

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