Mark Schering Jenkins, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E1205 Issued in TX

Practice address

333 N. Rivershire Dr.
Suite 160
Conroe, TX 77304-2711

Phone

(936) 441-2020

Fax

(936) 756-0656

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

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.

• Conroe Eye Clinic, LLP

  • Ophthalmology Physician
  • Conroe, TX
  • NPI 1497707905
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1376592469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 GRAMERCY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251756",
            "telephone_number": "713-668-6828",
            "fax_number": "713-558-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. RIVERSHIRE DR.",
            "address_2": "SUITE 160",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042711",
            "telephone_number": "936-441-2020",
            "fax_number": "936-756-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARK",
        "middle_name": "SCHERING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4549280",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225419-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LINK",
            "identifier": "2317432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180011212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "83930J",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Holmberg Jedlicka, PT, DPT
• Kristen Jefferson, DDS
• Ebony L Jeffery
• Christina Fiallos Jelinek, MA, LPC-A
• Ara Jenevizian, M.D.
• Sau Ming Jenkins
• Savannah Jenkins
• Jenelle Eyse Jennings
• Charlotte A Jensen, LPC
• Hyeyoon Christine Jeong

• Ophthalmology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.