Mark Edward Dwinell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2013-0979 Issued in NM

Practice address

407 S Schwartz Ave
Suite 201
Farmington, NM 87401-5925

Phone

(505) 609-6730

Fax

(505) 609-6749

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.dwinellmd.p1@direct.preventativehealth.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Preventative Care Health Services, Inc.

  dba Presidio County Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marfa, TX
  • NPI 1013196625
  Medicare reassignment NPD
• Preventative Care Health Service, Inc.

  dba Presidio County Health Services, Inc

  • Dental Clinic/Center
  • Presidio, TX
  • NPI 1093890634
  NPD
• Preventative Care Health Services, Inc

  dba Family Health Services of Alpine

  • Federally Qualified Health Center (FQHC)
  • Alpine, TX
  • NPI 1518347921
  NPD
• Capitol City Emergency Staffing PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Pflugerville, TX
  • NPI 1134394307
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1639106099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S SCHWARTZ AVE",
            "address_2": "SUITE 201",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015925",
            "telephone_number": "505-609-6730",
            "fax_number": "505-609-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWINELL",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2013-0979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049637-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104963701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Ray Duran
• Desmond Dutremaine, CPSW
• Kim D Dutremaine, LCSW, LADAC
• Nanahbah Kandice Duvall
• Dwayne L Gibbs MD PC
• Barbara Ann Dye, LPCC
• Marquita D Earley, LADAC
• William Joseph Earley, LADAC
• Earthworthy Compassionate Care (Nicholette Devilbiss)
• Heather Carolyne Eash

• Internal Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.