Mark Aziz, MD
Individual provider Active NPI Interventional Cardiology Physician · Kingsport, TN
NPI 1407003403 · NPPES record last updated May 27, 2014
Key facts
- NPI
- 1407003403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 51277 (TN)
- Practice address
- 2050 Meadowview Pkwy
Kingsport, TN 37660-7475 - Phone
- (423) 230-5000
- Fax
- (423) 230-5035
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmont Cardiology Services
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 230-5000
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000
851 Locust St
Rogersville, TN 37857-2407
Phone (423) 272-2671
Hospital & facility affiliations
- Wellmont Holston Valley Medical Center
- Indian Path Community Hospital
- Wellmont Bristol Regional Medical Center
- Johnston Memorial Hospital
- Smyth County Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140516001329 | TN | Practitioner - Interventional Cardiology |
4688852775 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Cardiology Services | Cardiovascular Disease | Current |
Accepting new patients |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients |
Locations
378 Marketplace Blvd
Ste 10
Johnson City, TN 37604
Phone (423) 928-2030
2050 Meadowview Pkwy
Kingsport, TN 37660
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 51277 | TN | Yes |
| Cardiovascular Disease Physician | 207RC0000X | 51277 | TN |
Addresses
Primary practice location
2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Mailing address
105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220
Other providers in Kingsport, TN
- Kimberly Michelle Austin
- Avail Southeast Kidney Care LLC
- Bradley S Avans
- Joseph Barron Avery
- Mary Axelrad
- Kathryn Backus
- Larry Alan Bacon
- Michael L Bacon
- Claxton Allen Baer
- Beverly Lynn Bailey
All providers in Kingsport, TN · Interventional Cardiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.