Mark Dresselhouse
Individual provider Active NPI Emergency Medicine Physician · Canton, TX
NPI 1184088015 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1184088015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- R6554 (TX)
- Practice address
- 18780 Interstate 20
Canton, TX 75103-3593 - Phone
- (903) 567-4841
- NPI assigned
- Apr 6, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Century Integrated Partners, Inc
Ies ER Oklahoma LLC
Longhorn Emergency Medical Associates PA
Practice addresses (Care Compare)
200 W Ollie St
Baylor Scott and White Hospital Llano
Llano, TX 78643-2628
Phone (325) 247-5040
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200
919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353
Hospital & facility affiliations
- St David'S South Austin Medical Center
- Baylor Scott and White Medical Center McKinney
- Baylor Scott & White Medical Center - Round Rock
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180730002715 | TX | Practitioner - Emergency Medicine |
8628326261 | Reassigns benefits to 10 organizations |
| I20251223000129 | OK | Practitioner - Emergency Medicine | 8628326261 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6554 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| Century Integrated Partners, Inc | Emergency Medicine | Current |
Accepting new patients |
| Mother Frances Hospital Jacksonville | Current |
Accepting new patients | |
| Ies ER Oklahoma LLC | Emergency Medicine | Current |
Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current |
Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Pediatric Emergency Medicine Group LLP | Emergency Medicine | Current |
Accepting new patients |
| Integrative Emergency Services Physician Group-Houston PLLC | Emergency Medicine | Current |
Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current |
Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current |
Accepting new patients |
Locations (25 of 27)
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
3500 Gaston Ave
Dallas, TX 75246
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
1935 Medical District Dr
#D
Dallas, TX 75235
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498
540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111
4500 E Sam Houston Pkwy S
Ste 235
Pasadena, TX 77505
5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326
11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055
Interoperability endpoints
- mdresselhouse233981@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | R6554 | TX | Yes |
Addresses
Primary practice location
18780 Interstate 20
Canton, TX 75103-3593
Mailing address
1500 S Lamar Blvd Apt 2008
Austin, TX 78704-2944
Phone (810) 287-0400
Other practice location 1
810 W TX-71
Marble Falls, TX 78654
Phone (830) 201-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387166707 | Medicaid | TX | |
| 387166706 | Medicaid | TX |
Other providers in Canton, TX
- Taylor Deen
- Chelsea Deleon
- Debra D Dewart
- Diverse Care Clinic of Canton PLLC
- Emily Ann Dosier
- Roseanna Lea Durnell
- Tara Lyn Duty
- East Texas Community Clinic, Inc.
- Jan Lynne Eiland
- Sandra Saladino Embry
All providers in Canton, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.