Eagle Services Group of Florida, P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EAGLE SERVICES GROUP OF FLORIDA, P.A.

Practice address

990 Villa St
Mountain View, CA 94041-1236

Phone

(888) 688-9296

NPI assigned

Jul 23, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Shen, MDNPI 1508826405

Title

President

Phone

(512) 779-7276

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Wayne Shen, MD

  • Pediatrics Physician
  • West Lake Hills, TX
  • NPI 1508826405
  Authorized official Same address or phone

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1033947031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 VILLA ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 VILLA ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411236",
            "telephone_number": "888-688-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE SERVICES GROUP OF FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-779-7276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Duong
• Bonnie Dwyer, M.D.
• E.C.Galvan DMD Inc
• Anthony Ea, DO
• Eagle Services Group of California, P.C.
• Eagle Services Group, P.C.
• Suzanne Elizabeth Earle
• Cindy Levin Eaton, PH.D.
• Kelly Eblen, OTR/L
• Kier Ecklund, MD

• Psychologist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.