Marcus John Wauson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA05661 Issued in TX

Practice address

510 N Hewitt Dr
Hewitt, TX 76643-3038

Phone

(254) 420-5000

Fax

(254) 420-5007

NPI assigned

Feb 15, 2008

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27647/brand/1/csg/1/fhir/r4
• Direct secure messaging: marcus.wauson.1@27647.direct.athenahealth.com

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.

• Family Medical Center of Georgetown, PA

  • Family Medicine Physician
  • Georgetown, TX
  • NPI 1700946118
  Medicare reassignment
• Scott & White Clinic

  dba Baylor Scott & White Clinic - Temple

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1093779704
  Medicare reassignment

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1346418076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N HEWITT DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433038",
            "telephone_number": "254-420-5000",
            "fax_number": "254-420-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUSON",
        "first_name": "MARCUS",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Darby Wagoner, RPH
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-7156)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-7156)
• Debra Annette Walton, PTA
• Theophlius Watson III, LCSW
• Jordan White, RBT
• Dale L Williams, DDS
• Winnie-Stowell Hospital District (Hewitt Nursing and Rehabilitation)
• Laura York, RBT - 20 - 126753

• Medical Physician Assistant in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.