Mark Pretorius, M.D. P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

F4392 Issued in TX

Legal business name

MARK PRETORIUS, M.D. P.A.

Practice address

5201 Corinthian Bay Dr
Plano, TX 75093-4028

Phone

(972) 596-5144

Fax

(972) 596-2128

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mark Pretorius, M.D.NPI 1912900580

Title

President

Phone

(972) 596-5144

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Mark E Pretorius, MD

  • Neurology Physician
  • Plano, TX
  • NPI 1912900580
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1336288315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 CORINTHIAN BAY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934028",
            "telephone_number": "972-596-5144",
            "fax_number": "972-596-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 CORINTHIAN BAY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934028",
            "telephone_number": "972-596-5144",
            "fax_number": "972-596-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK PRETORIUS, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "PRETORIUS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-596-5144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "F4392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4519",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166099501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0050RP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Mariam, LCSW
• Marilyn M. Hinrichs
• Gustavo Marin, M.D.
• Marjan Seddighzadeh, M.D., P.a.
• Mark a McQuaid MD PA
• Mark T. Padilla, PLLC
• Marker Iom LLC
• Marker Neuromonitoring LLC
• Gergana Markov, LPC
• Michael Patrick Markowitz, DO

• Neurology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.