Individual provider Active NPI

Mark R Pierce, M.D

  • Emergency Medicine Physician
  • Front Royal, VA
National Provider Identifier
1255399002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101038189 Issued in VA
Practice address
1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone
(540) 636-0300
Fax
(540) 636-0198
NPI assigned
May 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101038189 VA Primary

Addresses

Primary practice location

1000 N Shenandoah Ave
Front Royal, VA 22630-3547

Mailing address

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040517001595 VA Practitioner - Emergency Medicine 4981694247 Reassigns benefits to 1 organization
Practice locations: Winchester, VA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Memorial Hospital, Inc. CurrentSince Jan 9, 1995 Accepting new patients
Warren Memorial Hospital, Inc. Emergency Medicine CurrentSince Jan 9, 1995 Accepting new patients
Warren Memorial Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
N/aFront Royal, VA, CCN 490033 Hospital Corporate Officer
Corporate Director
Jun 1, 2008
Jun 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255399002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0300",
            "fax_number": "540-636-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SHENANDOAH AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303547",
            "telephone_number": "540-636-0300",
            "fax_number": "540-636-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101038189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.