Individual provider Active NPI

Mark Ernst, P.A.

  • Surgical Physician Assistant
  • El Paso, TX
National Provider Identifier
1467404426
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA02905 Issued in TX
Practice address
1300 Murchison Dr
Suite 310
El Paso, TX 79902-4842
Phone
(915) 838-3888
Fax
(915) 838-3889
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA02905 TX Primary

Addresses

Primary practice location

1300 Murchison Dr
Suite 310
El Paso, TX 79902-4842

Mailing address

7430 Remcon Cir
Suite B110
El Paso, TX 79912-3514
Phone (915) 544-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627000762 NV Practitioner - Physician Assistant 2860403441 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel L. Burkhead, M.D. LTD CurrentSince Jun 1, 2016 Accepting new patients

Locations

9920 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129
Phone (702) 316-2281

Interoperability endpoints

  • Direct secure messaging: mark.ernst@579.chartlogic.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1467404426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 REMCON CIR",
            "address_2": "SUITE B110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123514",
            "telephone_number": "915-544-2455",
            "fax_number": "915-544-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MURCHISON DR",
            "address_2": "SUITE 310",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024842",
            "telephone_number": "915-838-3888",
            "fax_number": "915-838-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "MARK",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.