Organization Active NPI

Mark E McDonnell DPM PA

  • Podiatrist
  • Austin, TX
National Provider Identifier
1689963829
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MARK E MCDONNELL DPM PA
Practice address
7900 FM 1826
BLDG 2, Ste. 100
Austin, TX 78737-1407
Phone
(512) 301-5350
Fax
(512) 301-5395
NPI assigned
Mar 28, 2011
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Mark E McDonnell, DPMNPI 1477526374
Title
DPM/President
Phone
(512) 301-5350

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
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

7900 FM 1826
BLDG 2, Ste. 100
Austin, TX 78737-1407

Mailing address

1340 Wonder World Dr
Suite 104
San Marcos, TX 78666-7598
Phone (512) 878-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110920000349 TX Part B Supplier - Clinic/Group Practice 9032380373 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX; San Marcos, TX
O20130430000493 TX DME Supplier - Physician - Podiatry 9032380373 Practice locations: San Marcos, TX

National Provider Directory

National Provider Directory
Tax ID family
Mark E McDonnell DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1689963829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR",
            "address_2": "SUITE 104",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667598",
            "telephone_number": "512-878-4203",
            "fax_number": "512-878-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FM 1826",
            "address_2": "BLDG 2, STE. 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787371407",
            "telephone_number": "512-301-5350",
            "fax_number": "512-301-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E MCDONNELL DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DPM/PRESIDENT",
        "authorized_official_telephone_number": "512-301-5350",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.