Active NPI
Mark James Jameson, MD PHD
- Otolaryngology Physician
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 13192
- Practice address
- 1417 S Cliff Ave Ste 300
Sioux Falls, SD 57105-1062 - Phone
- (605) 504-3000
- Fax
- (605) 504-3001
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101241309 | VA | |
| Otolaryngology Physician | 207Y00000X | 13192 | SD | Primary |
Addresses
Primary practice location
1417 S Cliff Ave Ste 300
Sioux Falls, SD 57105-1062
Mailing address
1417 S Cliff Ave Ste 300
Sioux Falls, SD 57105-1062
Phone (605) 504-3000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487819 | Medicaid | IA | |
| 1073564993 | Medicaid | VA | |
| P00347197 | Other | IA | MEDICARE RAILROAD |
| 20003 | Other | IA | WELLMARK BCBS |
Other names 1
- Mark James Horney
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mjameson6746@direct.healthsystem.virginia.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070912000360 | VA | Practitioner - Otolaryngology | 7416967088 | Reassigns benefits to 1 organization |
| I20220224002633 | SD | Practitioner - Otolaryngology | 7416967088 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1000 E 23Rd St
Sioux Falls, SD 57105-2114
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
1417 S Cliff Ave
Suite 300
Sioux Falls, SD 57105-1062
Phone (605) 504-3000
901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Pipestone County Medical Center
- Avera Marshall Regional Medical Ctr
- Avera St Lukes
- Lakes Regional Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 33 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13192 | SD | MD | Otolaryngology Physician |
| 0101241309 | VA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients |
Locations
1417 S Cliff Ave
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-8630
415 Ray C Hunt Dr
#2200
Charlottesville, VA 22903
415 Ray C Hunt Dr
Ste 2200
Charlottesville, VA 22903
Phone (434) 924-2153
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
Interoperability endpoints
- mark.jameson@avera.sdhealthlink.net
- mjameson6746@direct.healthsystem.virginia.edu
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
VA
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Rural Health Clinic/Center
- Rock Rapids, IA
- NPI 1003389206
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1073564993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 S CLIFF AVE STE 300",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051062",
"telephone_number": "605-504-3000",
"fax_number": "605-504-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 S CLIFF AVE STE 300",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051062",
"telephone_number": "605-504-3000",
"fax_number": "605-504-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMESON",
"first_name": "MARK",
"middle_name": "JAMES",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VA",
"license": "0101241309",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SD",
"license": "13192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487819",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073564993",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00347197",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "20003",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mjameson6746@direct.healthsystem.virginia.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "415 Ray C Hunt Dr Ste 2200",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229032980",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARK",
"last_name": "HORNEY",
"middle_name": "JAMES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.