Mark V Ward, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108536 Issued in FL

Practice address

16370 Walsingham Road
Largo, FL 33774-3532

Phone

(727) 593-9848

Fax

(727) 596-4532

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• DLP Harris Regional Hospital LLC

  • Emergency Medicine Physician
  • Sylva, NC
  • NPI 1609279330

  Physician Assistant

  Medicare reassignment NPD
• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641
  Medicare reassignment
• Murphy Medical Center Inc

  • Certified Registered Nurse Anesthetist
  • Murphy, NC
  • NPI 1649378423
  Medicare reassignment
• DLP Western Carolina Physician Practices LLC

  • Rural Health Clinic/Center
  • Sylva, NC
  • NPI 1003687187
  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Murphy Medical Center, Inc.

  • Family Medicine Physician
  • Murphy, NC
  • NPI 1417961251
  NPD
• Murphy Medical Center, Inc.

  • Surgery Physician
  • Murphy, NC
  • NPI 1700053865
  NPD
• Murphy Medical Center, Inc.

  • Rural Health Clinic/Center
  • Andrews, NC
  • NPI 1972123537
  NPD
• Phoenix Emergency Services of Murphy PLLC

  • Emergency Medicine Physician
  • Murphy, NC
  • NPI 1326382698
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1316040694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 1ST AVE S",
            "address_2": "SUITE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071242",
            "telephone_number": "727-767-0575",
            "fax_number": "727-333-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16370 WALSINGHAM ROAD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-593-9848",
            "fax_number": "727-596-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MARK",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108536",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02140",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015407200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Wall
• Bryan Wallace, MD
• Kacey Call Wankowski
• Amy Michele Ward, PHARMD
• Janita Marie Ward, APRN
• Ryan Richard Warner, DDS
• Stephen Carroll Warner Sr., DDS
• Gary L. Wasserman, O.D.
• Madeline Waters, ARNP
• Naomi Ruth Waterskarrick, LMHC

• Physician Assistant in Largo, FL
• Providers in Largo, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.