St Marks Medical Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

506983 Issued in TX

Legal business name

ST MARKS MEDICAL CENTER

Doing business as

St Marks Medical Clinics

Practice address

1 Saint Marks PL
La Grange, TX 78945-1250

Phone

(979) 242-2200

Fax

(979) 242-2299

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carol D Drozd

Title

Vice President Operations

Phone

(979) 242-2110

Specialties & licenses 5

Addresses

Other names 1

• St Marks Medical Clinics Doing business as

Locations

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1447287131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE ST. MARK'S PLACE",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "78945",
            "telephone_number": "979-242-2200",
            "fax_number": "979-242-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT MARKS PL",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451250",
            "telephone_number": "979-242-2200",
            "fax_number": "979-242-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARKS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "DROZD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "979-242-2110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TX",
            "license": "008234",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "008234",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "TX",
            "license": "008234",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "506983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Marks Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Simek
• Trina Siptak, PTA
• Alyssa Marie Smidovec, RN
• Southeast Texas Freelance Anesthesia PC
• St Mark'S Medical Center
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• Erich Stafford
• Sterling Emergency Services, PA
• Kirby Alana Stolorski, LVN
• Diane Miller Supak

• Family Nurse Practitioner in La Grange, TX
• Providers in La Grange, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.