Stephen L. Mark, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E2703 Issued in TX

Practice address

405 Londonderry Dr Ste 202
Waco, TX 76712-7921

Phone

(254) 772-6770

Fax

(254) 772-8471

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Providence Health Alliance

  • Specialist
  • Waco, TX
  • NPI 1932210838
  NPD (past)
• Tony a. Payson, M.D., P.a.

  • Psychiatry Physician
  • Waco, TX
  • NPI 1548440845
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407866403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LONDONDERRY DR STE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127921",
            "telephone_number": "254-772-6770",
            "fax_number": "254-772-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LONDONDERRY DR STE 202",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127921",
            "telephone_number": "254-772-6770",
            "fax_number": "254-772-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARK",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00R970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda S. Marion, RD, LD
• Mark H. Dickie, MD PLLC
• Mark Malone MD PA
• Mark Mery DMD PA
• Mark Schwartze, M.D.,P.a.
• Marked for Grace Counseling Center
• Sandra Marquez
• John David Marr, DO
• Cessley Marsellus, M.D.
• Ashley Rene Marshall

• Psychiatry Physician in Waco, TX
• Providers in Waco, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.