Individual provider Active NPI

Mark McCrary, M.D.

  • Emergency Medicine Physician
  • Texarkana, TX
National Provider Identifier
1023019668
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
F4262 Issued in TX
Practice address
1000 Pine St
Texarkana, TX 75501-5100
Phone
(903) 798-8868
Fax
(903) 798-8879
NPI assigned
Aug 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X F4262 TX Primary

Addresses

Primary practice location

1000 Pine St
Texarkana, TX 75501-5100

Mailing address

1000 Pine St
Texarkana, TX 75501-5100
Phone (903) 798-8868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001503 TX Practitioner - Emergency Medicine 9335131564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

130 Tankersley Rd
Mt Pleasant, TX 75455-1530
Phone (903) 606-7490

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Medical Services PLLC Emergency Medicine CurrentSince Nov 23, 2024 Accepting new patients
Texarkana Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 26, 2026 Accepting new patients
Emergency Associates of Texas, PA Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Regional Clinics of Longview Emergency Medicine Past Accepting new patients
Texarkana Emergency Medicine Physicians,PA Emergency Medicine Past Accepting new patients
Diagnostic Clinic of Longview PA Past Accepting new patients
Four States Emergency Physicians Emergency Medicine Past Accepting new patients
Exceed Health Clinic PastSince Feb 21, 2021 Accepting new patients

Locations

130 Tankersley Rd
Mt Pleasant, TX 75455
Phone (903) 606-2830

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6966/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1023019668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-798-8868",
            "fax_number": "903-798-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-798-8868",
            "fax_number": "903-798-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.