Mark A Wren, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J9450 Issued in TX

Practice address

4613 Parkway Dr Ste 1
Texarkana, AR 71854-1142

Phone

(870) 330-0496

Fax

(870) 330-0499

NPI assigned

May 3, 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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX, AR2 enrollments

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 2

Specialty

Physical Medicine and Rehabilitation

Education

Tulane University School of Medicine, 1991

Medicare assignment

May accept Medicare assignment

Group practices

White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
• White County Medical Center Hospital, Searcy, AR, CCN 040014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mark a. Wren, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Texarkana, AR
  • NPI 1023225794

  Specialist, TX

  Medicare reassignment NPD Authorized official
• White County Medical Center

  • Multi-Specialty Clinic/Center
  • Searcy, AR
  • NPI 1962784835
  Medicare reassignment Care Compare group
• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266
  Medicare reassignment NPD
• Christus Health Ark-la-Tex

  • Rehabilitation Hospital Unit
  • Texarkana, TX
  • NPI 1467453902
  NPD
• Christus Health Ark-la-Tex

  • Hematology & Oncology Physician
  • Texarkana, TX
  • NPI 1790162238
  NPD

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

• White County Medical Center

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Care Compare affiliation
• White County Medical Center

  • Cardiovascular Disease Physician
  • Searcy, AR
  • NPI 1063780567

  Hospital

  Care Compare affiliation
• White County Medical Center

  • Family Medicine Physician
  • Newport, AR
  • NPI 1093475469

  Hospital

  Care Compare affiliation
• White County Medical Center

  • Psychiatry Physician
  • Searcy, AR
  • NPI 1104227800

  Hospital

  Care Compare affiliation
• White County Medical Center

  • Oncology Clinic/Center
  • Searcy, AR
  • NPI 1184911901

  Hospital

  Care Compare affiliation
• White County Medical Center

  • Family Medicine Physician
  • Newport, AR
  • NPI 1205596566

  Hospital

  Care Compare affiliation
• White County Medical Center

  • Primary Care Clinic/Center
  • Heber Springs, AR
  • NPI 1215335435

  Hospital

  Care Compare affiliation
• White County Medical Center

  • Primary Care Clinic/Center
  • Bradford, AR
  • NPI 1386015097

  Hospital

  Care Compare affiliation
• White County Medical Center

  • Primary Care Clinic/Center
  • Beebe, AR
  • NPI 1497174858

  Hospital

  Care Compare affiliation
• White County Medical Center

  • General Acute Care Hospital
  • Searcy, AR
  • NPI 1568406536
  Care Compare affiliation
• White County Medical Center

  • Pediatrics Physician
  • Newport, AR
  • NPI 1588324164

  Hospital

  Care Compare affiliation
• White County Medical Center

  • General Acute Care Hospital
  • Newport, AR
  • NPI 1619365079
  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1104884386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 PARKWAY DR STE 1",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541142",
            "telephone_number": "870-330-0496",
            "fax_number": "870-330-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 PARKWAY DR STE 1",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541142",
            "telephone_number": "870-330-0496",
            "fax_number": "870-330-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E-0509",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J9450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS B/C",
            "identifier": "0099KW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C ARKANSAS",
            "identifier": "97112",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154623002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E-0509",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "J9450",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1687311-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cally Wooley
• Cathy Alison Word, PHD
• Daisey Worley, MHPP
• WPM Community Pharmacies, LLC
• Lisa G. Wren, OT
• John W Wright, MHPP
• Natalia Wright, MHPP
• Amber Wyman
• Earnest Wyrick, MHPP
• Kaitlyn Renee Yancey

• Physical Medicine & Rehabilitation Physician in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.

Verify at the official NPI Registry.