Mark Ahearn, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L5216 Issued in TX

Practice address

6720 Bertner St
Houston, TX 77030-2604

Phone

(832) 355-2121

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Center Emergency Physicians PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1639154230

  Emergency Medicine

  NPD (past)
• Southeast Emergency Physician Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1235155102

  Emergency Medicine

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 8, 2009.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1265453039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 WEST LOOP S",
            "address_2": "SUITE 950",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014103",
            "telephone_number": "713-838-0800",
            "fax_number": "713-838-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L5216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F8879",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155276203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahamu Anesthesia Group LLC
• Mahvash G.D Ahan
• Nkechi Ahanotu-Anigbogu, RN BSN
• Ahava Counseling & Consulting, LLC
• Ahava Counseling & Mediation Practice, LLC
• Rachel Ahearn, PT, DPT
• Benita V Ahedo
• Kimberly Ahee
• Kurt Ahkin
• David Francis Ahlers, ORTHOTIST

• All providers in Houston, TX
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.