Mark David Pedigo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12314 Issued in TX

Practice address

2900 N I 35 Ste 301
Denton, TX 76201-5146

Phone

(940) 323-3426

Fax

(940) 323-3427

NPI assigned

Nov 3, 2018

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
• Medical City Denton Hospital, Denton, TX, CCN 450634

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpedigo1392216@direct.texashealth.org

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.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment Care Compare group
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Kaufman, TX
  • NPI 1992151740
  NPD

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

• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Texas Health Presbyterian Hospital Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1003883158
  Care Compare affiliation

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541203200000",
    "number": "1144798570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N I 35 STE 301",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015146",
            "telephone_number": "940-323-3426",
            "fax_number": "940-323-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N I 35 STE 301",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015146",
            "telephone_number": "940-323-3426",
            "fax_number": "940-323-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDIGO",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-03",
        "last_updated": "2018-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry of Denton
• Pediatric Dentistry of Denton PLLC
• Pediatric Therapy, Inc.
• Pediatric Therapy, Inc.
• Pediatric Urgent Care of Denton, LP
• Pedro E. Estorque Jr., M.D., P.a.
• Leon Ashley Peek, PH.D.
• Michele Pellar, DPT
• Cynthia Pelzel, R.N.
• Ashley Pena, RD, LD, CNSC

• Physician Assistant in Denton, TX
• Providers in Denton, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; 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.