Mark Leland Lobaugh, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Harker Heights, TX
NPI 1710984091 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1710984091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- L3544 (TX)
- Practice address
- 800 W Central Texas Expy
Suite 200
Harker Heights, TX 76548-1899 - Phone
- (254) 519-2229
- Fax
- (254) 519-2231
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040303000553 | CA | Practitioner - Obstetrics/Gynecology | 7719874742 | Reassigns benefits to 1 organization |
| I20050711000520 | TX | Practitioner - Obstetrics/Gynecology | 7719874742 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G061664 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHP Texas MD Services, Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Texas Health Foundation, Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Longview Wellness Center, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Longview Wellness Center Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Pediatrix Medical Group of Texas Billing, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Obhg California, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Longview Wellness Center Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Ed P Kemper, MD, PA | Obstetrics & Gynecology | Past |
Accepting new patients |
| Longview Wellness Center Inc | Obstetrics & Gynecology | Past |
Accepting new patients |
| Metroplex Clinic Physicians, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
| Kings Comprehensive Women'S Healthcare Medical Group, Inc. | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
3610 Stagg Dr
Beaumont, TX 77701
Phone (409) 730-4700
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
3500 Gaston Ave
Dallas, TX 75246
800 W Central Texas Expy
Ste 200
Harker Heights, TX 76548
Phone (254) 245-9045
800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763
1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- mlobaugh348845@directhoustonmethodist.org
- mlobaugh262085@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G061664 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | L3544 | TX | Yes |
Addresses
Primary practice location
800 W Central Texas Expy
Suite 200
Harker Heights, TX 76548-1899
Mailing address
1208 Mountain Ridge CT
Nolanville, TX 76559-4649
Phone (254) 432-9685
NPI Registry JSON
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1710984091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 MOUNTAIN RIDGE CT",
"city": "NOLANVILLE",
"state": "TX",
"postal_code": "765594649",
"telephone_number": "254-432-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W CENTRAL TEXAS EXPY",
"address_2": "SUITE 200",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765481899",
"telephone_number": "254-519-2229",
"fax_number": "254-519-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBAUGH",
"first_name": "MARK",
"middle_name": "LELAND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G061664",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L3544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harker Heights, TX
- Maya Lidell
- Fatima Suhey Lira Briseno
- Paola Marina Liriano
- Demarco Livingston
- John Llorico
- Nancy Lockett
- April Lynn Lofton
- Lone Star Circle of Care
- Lone Star Circle of Care
- Lone Star Circle of Care
All providers in Harker Heights, TX · Obstetrics & Gynecology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.