Mark Cockburn MD PA

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

MARK COCKBURN MD PA

Practice address

8201 N University Dr Ste 204
Tamarac, FL 33321-1709

Phone

(914) 310-0926

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Mark Cockburn, MD

Title

Owner

Phone

(914) 310-0926

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1770327702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 SW 52ND ST",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302730",
            "telephone_number": "914-310-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 N UNIVERSITY DR STE 204",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211709",
            "telephone_number": "914-310-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK COCKBURN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "COCKBURN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-310-0926",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kojo Marfo
• Shobha Keragodu Marigowda, APRN
• Donna Marino, LCSW
• Mario H. Avila, M.D.P.a.
• Mark Akselrud MD PA
• Mark E. Rogers, O.D.,P.a.
• Mark E. Rogers, O.D.,P.a.
• Barbara Marks, LCSW
• Sheena Marsh
• Marshall M Kaplan, MD PA

• Trauma Surgery Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Trauma Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.