Mark D. Larson, M.D., P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARK D. LARSON, M.D., P.A.

Practice address

950 N 11TH St
Beaumont, TX 77702-1203

Phone

(409) 833-0193

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Mark Larson, M.D.NPI 1770644767

Title

Physician

Phone

(409) 833-0193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Duane Larson, MD

  • Plastic Surgery Physician
  • Beaumont, TX
  • NPI 1770644767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1245489103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021203",
            "telephone_number": "409-833-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021203",
            "telephone_number": "409-833-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. LARSON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "409-833-0193",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Russo Marchand, MD
• Sharon Mary Heartfield Marchand, M.D.
• Sidney Albert Marchand IV, M.D.
• Faiza Maredia
• Wayne S Margolis, M.D.
• Mark J Kubala MD PA
• Mark Johnson, O.D., PLLC
• Eric Adam Marks, MD
• Marsha Geraldine Marks, PTA
• Patricia M Marks, MT

• Ambulatory Surgical Clinic/Center in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.