Individual provider Active NPI

Mark Stephen Cotner, M.D.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1629070602
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L7343 Issued in TX
Practice address
9324 Ranchero
San Antonio, TX 78240-1029
Phone
(210) 455-9609
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14155 OK
Surgery Physician 208600000X L7343 TX Primary

Addresses

Primary practice location

9324 Ranchero
San Antonio, TX 78240-1029

Mailing address

9324 Ranchero
San Antonio, TX 78240-1029
Phone (210) 455-9609

Other practice location 1

900 E 13th St
suite 103
Grove, OK 74344-2975
Phone (918) 786-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7343TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System Surgery Past Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1629070602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 RANCHERO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401029",
            "telephone_number": "210-455-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 RANCHERO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401029",
            "telephone_number": "210-455-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E 13th St",
            "address_2": "suite 103",
            "address_purpose": "LOCATION",
            "city": "Grove",
            "state": "OK",
            "postal_code": "743442975",
            "country_code": "US",
            "telephone_number": "918-786-7300",
            "fax_number": "918-786-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTNER",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "14155",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L7343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.