Individual provider Active NPI

Marc Anthony Zepeda, M.D.

  • Obstetrics & Gynecology Physician
  • Aledo, TX
National Provider Identifier
1336100122
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P3495 Issued in TX
Practice address
201 Rock Glenn CT
Aledo, TX 76008-6919
Phone
(714) 743-3041
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G422760 CA
Obstetrics & Gynecology Physician 207V00000X P3495 TX Primary

Addresses

Primary practice location

201 Rock Glenn CT
Aledo, TX 76008-6919

Mailing address

201 Rock Glenn CT
Aledo, TX 76008-6919
Phone (714) 743-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130614000332 TX Practitioner - Obstetrics/Gynecology 3072593003 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G422760CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Mar 28, 2023 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Nov 8, 2017 Accepting new patients

Locations

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2821 E President George Bush Hwy
Ste 400
Richardson, TX 75082
Phone (972) 231-9144

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1336100122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ROCK GLENN CT",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760086919",
            "telephone_number": "714-743-3041",
            "fax_number": "714-771-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROCK GLENN CT",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760086919",
            "telephone_number": "714-743-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G422760",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P3495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

Verify at the official NPI Registry.