MLMD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

L3544 Issued in TX

Legal business name

MLMD PA

Practice address

2111 S Clear Creek Rd
Killeen, TX 76549-4110

Phone

(254) 519-2229

Fax

(254) 519-2231

NPI assigned

Jun 4, 2008

Last updated

Dec 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark L Lobaugh, MDNPI 1710984091

Title

Owner

Phone

(254) 519-2229

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Mark Leland Lobaugh, MD

  • Obstetrics & Gynecology Physician
  • Harker Heights, TX
  • NPI 1710984091
  Authorized official Same address or phone

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1750540811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765400938",
            "telephone_number": "254-634-6999",
            "fax_number": "254-200-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-519-2229",
            "fax_number": "254-519-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "LOBAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-519-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L3544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196049401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen-Mae Mitchell, MD
• Kidada A Mitchell, OTR
• Kimberly M Mitchell, CCC-SLP
• Ricky D Mitchell, M.D.
• Mollye Katherine Mlcak, PT, DPT
• Jonathan Dean Mock, MD
• Raechelle Angelee Moffett, CEO, LVN
• Tyler Mohr, PHARM. D.
• Faizah Moin
• Joanna Moldenhauer, RD

• Specialist in Killeen, TX
• Providers in Killeen, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; 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.