Mark Lee Jayawant, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

M7303 Issued in TX

Practice address

1900 Scenic Dr
Georgetown, TX 78626-7724

Phone

(512) 715-4227

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Capital Cardiothoracic Surgeons PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Austin, TX
  • NPI 1720010184
  NPD (past)
• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984
  NPD (past)
• Regional Employee Assistance Program Inc

  • General Practice Physician
  • San Angelo, TX
  • NPI 1750302923
  NPD (past)
• Thoracic Cardiac & Vascular Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Birmingham, AL
  • NPI 1164432852
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1033221486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SCENIC DR.",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-715-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCENIC DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267724",
            "telephone_number": "512-715-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAWANT",
        "first_name": "MARK",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "M7303",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ND",
            "license": "13204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Earl Jaisingh, FNP-C
• James B Thompson MD PA (Georgetown Family Health Clinic)
• Jan Douglass (Medicine Shoppe)
• Mollie Melinda Jan, D.O.
• Julie Jaworski
• Alexa Jazmin, PA-C
• Joseph P Jeanette II, DO
• Stephanie Page Jeffries, MS
• Christina Nicole Jenkins, LCSW106469
• Sarah Jones Jenkins, RPH

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.