Individual provider Active NPI

Wendy S Markowitz, M.D.

  • Pediatrics Physician
  • Longview, TX
National Provider Identifier
1659477222
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M8162 Issued in TX
Practice address
1009 N 4TH St
Longview, TX 75601-4768
Phone
(903) 212-4330
Fax
(903) 212-4333
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M8162 TX Primary

Addresses

Primary practice location

1009 N 4TH St
Longview, TX 75601-4768

Mailing address

1009 N 4TH St
Longview, TX 75601-4768
Phone (903) 212-4330

Other identifiers 1

IdentifierTypeStateIssuer
282086201MedicaidTX

Other names 1

  • Wendy S Blair Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001255 TX Practitioner - Pediatric Medicine 3870538754 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc Pediatrics CurrentSince Apr 7, 2011 Accepting new patients
Longview Wellness Center, Inc Pediatrics Current Accepting new patients
Longview Wellness Center, Inc. Pediatrics CurrentSince Apr 7, 2011 Accepting new patients
Longview Wellness Center Inc Pediatrics PastSince Jan 2, 2022 Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients
Special Health Resources for Texas, Incorporated Past Accepting new patients
Special Health Resources for Texas, Inc Past Accepting new patients

Locations

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151

Interoperability endpoints

  • Direct secure messaging: wendy.markowitz@wchcl.eclinicaldirectplus.com
  • Direct secure messaging: wendy.markowitz.1@23550.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA

Organizations & group practices 7

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1659477222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014768",
            "telephone_number": "903-212-4330",
            "fax_number": "903-212-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014768",
            "telephone_number": "903-212-4330",
            "fax_number": "903-212-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWITZ",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M8162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282086201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BLAIR",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.