Mark Ephrom Sowell, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

1449 Issued in TX

Practice address

3316 N University Dr
Suite C
Nacogdoches, TX 75965-2632

Phone

(936) 559-1700

Fax

(936) 559-1713

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Foot AssociatesGroup PAC ID 3870670953, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msowell@etfa-tx.direct.office.nextgen.com

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.

• East Texas Foot Associates

  • Podiatrist
  • Lufkin, TX
  • NPI 1114086659

  Primary Podiatric Medicine, TX

  Medicare reassignment Care Compare group NPD
• Kevin F Sunshein DPM Inc

  • Podiatrist
  • Centerville, OH
  • NPI 1154374304

  Primary Podiatric Medicine

  NPD (past)

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

• TH Healthcare, LTD

  • General Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1700885076

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1679517528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 N UNIVERSITY DR",
            "address_2": "SUITE C",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652632",
            "telephone_number": "936-559-1700",
            "fax_number": "936-559-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 N UNIVERSITY DR",
            "address_2": "SUITE C",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652632",
            "telephone_number": "936-559-1700",
            "fax_number": "936-559-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWELL",
        "first_name": "MARK",
        "middle_name": "EPHROM",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1449",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018599301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480029919",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0096DS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DMERC",
            "identifier": "4560260001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Le'Ann Little Solmonson, LPC
• Erin Nicole Sommerlatte, PA
• Carissa A Sorenson, PHARMD
• Rodrigo William Sotillo, MD
• Southern Physician Group Management LLC
• Brooke Spann, APRN
• Arthur L Speck, M.D.
• St. Alyssa Medical Center
• Andrew Staehling, ATC, LAT
• Stallings Court SCC LLC

• All providers in Nacogdoches, TX
• Primary Podiatric Medicine Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.