Organization Active NPI

Eric a. Marks, MD, PA

  • Internal Medicine Physician
  • Beaumont, TX
National Provider Identifier
1669668158
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3325 Issued in TX
Legal business name
ERIC A. MARKS, MD, PA
Practice address
810 Hospital Dr
Suite 300
Beaumont, TX 77701-4600
Phone
(409) 835-0905
Fax
(409) 839-4723
NPI assigned
Sep 19, 2007
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Eric Marks, MDNPI 1720089790
Title
MD
Phone
(409) 835-0905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K3325 TX Primary

Addresses

Primary practice location

810 Hospital Dr
Suite 300
Beaumont, TX 77701-4600

Mailing address

810 Hospital Dr
Suite 300
Beaumont, TX 77701-4600
Phone (409) 835-0905

Other identifiers 2

IdentifierTypeStateIssuer
0090CZOtherTXBCBS OF TEXAS
080890901MedicaidTX

National Provider Directory

National Provider Directory

Locations

810 Hospital Dr
Ste 300
Beaumont, TX 77701
Phone (409) 813-2111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1669668158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-835-0905",
            "fax_number": "409-839-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-835-0905",
            "fax_number": "409-839-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A. MARKS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "409-835-0905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0090CZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080890901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.