Mark Robbins MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MARK ROBBINS MD PA

Practice address

1040 S Fleishel Ave Ste 1
Tyler, TX 75701-2031

Phone

(903) 533-8702

Fax

(903) 533-8720

NPI assigned

Apr 17, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Robbins, M,D.NPI 1891797429

Title

Owner

Phone

(903) 533-8702

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Richard Robbins, M.D.

  • Vascular Surgery Physician
  • Tyler, TX
  • NPI 1891797429
  Medicare reassignment NPD Authorized official
• Lynda Elizabeth Bockmon, ANP-BC, ACNP-BC

  • Adult Health Nurse Practitioner
  • Mount Pleasant, TX
  • NPI 1609089481
  Medicare reassignment NPD
• Teresa Lee Griffin, DNP APRN AGACNP FNP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1952499543
  Medicare reassignment NPD
• David Brent Kerns, MD

  • Vascular Surgery Physician
  • Tyler, TX
  • NPI 1073515565
  Medicare reassignment NPD
• Tyrone J Miller, DO

  • Surgery Physician
  • Tyler, TX
  • NPI 1952513202
  Medicare reassignment NPD
• Angela Harden, PA

  • Physician Assistant
  • Tyler, TX
  • NPI 1760680953
  Medicare reassignment
• Marvin Dean Pennington, PA

  • Surgical Physician Assistant
  • Tyler, TX
  • NPI 1972534683
  Medicare reassignment
• Olivia Lane Urben Snodgrass, PA-C

  • Medical Physician Assistant
  • Tyler, TX
  • NPI 1942661756
  Medicare reassignment

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1245456375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S FLEISHEL AVE STE 1",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012031",
            "telephone_number": "903-533-8702",
            "fax_number": "903-533-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S FLEISHEL AVE STE 1",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012031",
            "telephone_number": "903-533-8702",
            "fax_number": "903-533-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 E Idel St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012024",
            "country_code": "US",
            "telephone_number": "903-533-8702",
            "fax_number": "903-533-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK ROBBINS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-533-8702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1872830-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Edgar Marcyes, P.A.
• Amanda Marett
• Steven Mari
• Colin Marino, MD
• Mark Morris, MD, PA
• Leslie Kay Scroggins Markle, MD
• Travis A Markle, D.D.S.
• Jonathan Adam Markowitz, M.D.
• Brandon Coby Marrow, MSPT
• Christina I Marrow, LPC

• Surgery Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.