Individual provider Active NPI

Wesley C Marshall, MD

  • Family Medicine Physician
  • Hillsboro, TX
National Provider Identifier
1194702126
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M1908 Issued in TX
Practice address
1323 E Franklin St
Suite 105
Hillsboro, TX 76645-2621
Phone
(254) 582-7481
Fax
(254) 580-1584
NPI assigned
Dec 30, 2005
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M1908 TX Primary

Addresses

Primary practice location

1323 E Franklin St
Suite 105
Hillsboro, TX 76645-2621

Mailing address

PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050

Other identifiers 1

IdentifierTypeStateIssuer
179059402MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000739 TX Practitioner - Family Practice 4486668696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M1908TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center, Inc Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
McLennan County Medical Education and Research Foundation Family Medicine Current Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Nhci of Hillsboro Inc Past Accepting new patients

Locations

1323 E Franklin St
Ste 105
Hillsboro, TX 76645
Phone (254) 582-7481

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

405 Londonderry Dr
Ste 204
Waco, TX 76712
Phone (254) 313-1500

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1194702126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18962",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "800-566-5050",
            "fax_number": "254-580-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 E FRANKLIN ST",
            "address_2": "SUITE 105",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452621",
            "telephone_number": "254-582-7481",
            "fax_number": "254-580-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "WESLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179059402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

Verify at the official NPI Registry.