NPIMap

Individual provider Active NPI

Mark A Cline, M.D.

  • Family Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1477563898
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8492 Issued in TX
Practice address
4604 NE Stallings Dr
Nacogdoches, TX 75965-1608
Phone
(936) 559-8770
Fax
(936) 559-8773
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8492 TX Primary

Addresses

Primary practice location

4604 NE Stallings Dr
Nacogdoches, TX 75965-1608

Mailing address

4604 NE Stallings Dr
Nacogdoches, TX 75965-1608
Phone (936) 559-8770

Other identifiers 2

IdentifierTypeStateIssuer
135176908MedicaidTX
135176907MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000959 TX Practitioner - Family Practice 3274568274 Receives reassigned benefits from 15 practitioners
Practice locations: Nacogdoches, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3900 NE Stallings Dr
101 Cline Family Practice
Nacogdoches, TX 75965-2106
Phone (936) 559-8770

4604 NE Stallings Dr
Suite 101
Nacogdoches, TX 75965-2106

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Palestine, TX, CCN 458433
  • A Pineywoods Home Health Care Inc Home health agency, Lufkin, TX, CCN 677545
  • Enhabit Home Health Home health agency, Nacogdoches, TX, CCN 679432
  • Reliant at Home Home health agency, Lufkin, TX, CCN 747328
  • Accentcare Home Health of Texas Home health agency, Nacogdoches, TX, CCN 679108
  • Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656
  • CHI St Lukes Health Memorial San Augustine Hospital, San Augustine, TX, CCN 670783
  • Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
  • CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth21
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J8492TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cline Family Practice PastSince Jan 21, 2013 Accepting new patients
Cline Family Practice Family Medicine PastSince Jan 21, 2013 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGIHAD

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1477563898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651608",
            "telephone_number": "936-559-8770",
            "fax_number": "936-559-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651608",
            "telephone_number": "936-559-8770",
            "fax_number": "936-559-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135176908",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135176907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.