Healthcare Provider Details

I. General information

NPI: 1184606881
Provider Name (Legal Business Name): MARK L HOPP CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E MAIN ST STE 2300, MARSHALLTOWN ANESTHESIOLOGISTS PLC
MARSHALLTOWN IA
50158-1888
US

IV. Provider business mailing address

312 E MAIN ST STE 2300, MARSHALLTOWN ANESTHESIOLOGISTS PLC
MARSHALLTOWN IA
50158-1888
US

V. Phone/Fax

Practice location:
  • Phone: 641-752-7149
  • Fax: 641-752-6320
Mailing address:
  • Phone: 641-752-7149
  • Fax: 641-752-6320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number41129
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number056492
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberD056492
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: