Organization Active NPI

Mark Ciaglia, DO PC

  • Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1003277195
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MARK CIAGLIA, DO PC
Doing business as
Woodlands Center for Special Surgery
Practice address
134 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3030
Phone
(936) 242-1437
Fax
(936) 447-9672
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Anthony Ciaglia, DONPI 1063651610
Title
Doctor
Phone
(936) 242-1437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X TX Primary

Addresses

Primary practice location

134 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3030

Mailing address

134 Vision Park Blvd Ste 100
Shenandoah, TX 77384-3030
Phone (936) 242-1437

Other practice location 1

9851 Fm 1097 Rd W Ste 110
Willis, TX 77318-5852
Phone (936) 228-7670

Other identifiers 1

IdentifierTypeStateIssuer
3667456MedicaidTX

Other names 1

  • Woodlands Center for Special Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161010000808 TX Part B Supplier - Clinic/Group Practice 6901194810 Receives reassigned benefits from 4 practitioners
Practice locations: Shenandoah, TX
O20181109002786 TX DME Supplier - Physician - Podiatry 6901194810 Practice locations: Shenandoah, TX

National Provider Directory

National Provider Directory

Locations

134 Vision Park Blvd
Ste 100
Shenandoah, TX 77384
Phone (936) 242-1437

9205 Pinecroft Dr
The Woodlands, TX 77380

9851 FM 1097 Rd W
Ste 110
Willis, TX 77318
Phone (936) 228-7670

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1003277195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843030",
            "telephone_number": "936-242-1437",
            "fax_number": "936-447-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VISION PARK BLVD STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843030",
            "telephone_number": "936-242-1437",
            "fax_number": "936-447-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9851 Fm 1097 Rd W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Willis",
            "state": "TX",
            "postal_code": "773185852",
            "country_code": "US",
            "telephone_number": "936-228-7670",
            "fax_number": "936-228-7666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK CIAGLIA, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "CIAGLIA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "936-242-1437",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3667456",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Center for Special Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodlands Center for Special Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.