MEDICARE: MARK A. CHMIELA MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1447113329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK A. CHMIELA MD PLLC

Provider Business Mailing Address
First Line	:	9750 W SKYE CANYON PARK DR STE 160
Second Line	:	PMB 220
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-6627
Country	:	US
Telephone Number	:	702-789-0518
Fax Number	:	702-718-5160

Provider Business Practice Location Address
First Line	:	8230 W SAHARA AVE STE 111
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-8930
Country	:	US
Telephone Number	:	702-789-0518
Fax Number	:	702-718-5160

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK ADAM CHMIELA
Credential	:	MD
Telephone Number	:	702-789-0518

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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