Mark Mizuba, CRNA
NPI 1164439899ActiveIndividual· Nurse Anesthetist, Certified Registered· Roanoke, VA
Nurse Anesthetist, Certified Registered (CRNA) in Roanoke, Virginia, trained at University of Pittsburgh School of Medicine (class of 1992). Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1164439899 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Aug 2, 2006 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 0024166707 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (VA) |
|---|
Education and affiliations
| Medical school | University of Pittsburgh School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Carilion Professional Services LLCRocky Mount, VA · 85 clinicians
Hospital affiliation
- Carilion Franklin Memorial HospitalRocky Mount, VA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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