Active NPI
Mark L Harrison, MD
- Radiation Oncology Physician
- McAllen, TX
National Provider Identifier
1417954124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G4598
- Practice address
- 620 S Broadway St
McAllen, TX 78501-4906 - Phone
- (956) 682-9680
- Fax
- (956) 682-9915
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G4598 | TX | Primary |
Addresses
Primary practice location
620 S Broadway St
McAllen, TX 78501-4906
Mailing address
620 S Broadway St
McAllen, TX 78501-4906
Phone (956) 682-9680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96320902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Cincinnati College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1719 Treasure Hills Blvd
Harlingen, TX 78550-8912
1719 Treasure Hills Blvd
Harlingen, TX 78550-8949
Phone (956) 364-2131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4598 | TX | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Cancer Associates PA | Radiation Oncology | Current | Accepting new patients |
| Valley Cancer Associates PA | Current | Accepting new patients | |
| Urology Associates of South Texas PA | Past | Accepting new patients | |
| Radiation Medicine Associates | Radiation Oncology | Past | Accepting new patients |
| Urorad Healthcare LP | Past | Accepting new patients |
Locations
844 Central Blvd
Ste 430
Brownsville, TX 78520
Phone (956) 544-7833
1719 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 212-4388
Organizations & group practices 5
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.
-
- Radiation Oncology Physician
- Harlingen, TX
- NPI 1427233238
-
- Community/Retail Pharmacy
- Harlingen, TX
- NPI 1699282327
-
- Radiation Oncology Physician
- McAllen, TX
- NPI 1528150018
-
- Urology Physician
- McAllen, TX
- NPI 1770683195
-
- Specialist
- Humble, TX
- NPI 1710951553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417954124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 S BROADWAY ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014906",
"telephone_number": "956-682-9680",
"fax_number": "956-682-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S BROADWAY ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014906",
"telephone_number": "956-682-9680",
"fax_number": "956-682-9915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "MARK",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "G4598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96320902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.