Mark Edward Athans, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00029 Issued in TX

Practice address

15103 TX-75
#242
Willis, TX 77378

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Mar 26, 2007

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Athans Surgical LLC

  • Surgical Assistant
  • Willis, TX
  • NPI 1548987720
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1093833576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3005",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773783005",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15103 TX-75",
            "address_2": "#242",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "77378",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0004JR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwakemi Adebowale, PHARMD
• Alliance MRI Montgomery County
• Olawunmi Oluseun Amao, RN
• Angels Caring Touch LLC
• Athans Surgical LLC
• Kari Avant, LVN
• Kristyn Nicole Barton, CPHT
• Best Urgent Care, PLLC (Urgent Care of Conroe)
• Better Care Willis PLLC
• Maribeth Cruz Bobadilla, M.D.

• Surgical Assistant in Willis, TX
• Providers in Willis, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.