Individual provider Active NPI

Mark Raymond Norwid, M.D.

  • Emergency Medicine Physician
  • Waco, TX
National Provider Identifier
1770645046
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K3363 Issued in TX
Practice address
6901 Medical Pkwy
Waco, TX 76712-7910
Phone
(254) 751-4180
Fax
(254) 751-4177
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K3363 TX Primary

Addresses

Primary practice location

6901 Medical Pkwy
Waco, TX 76712-7910

Mailing address

8224 Teakwood Dr
Woodway, TX 76712-2426
Phone (254) 772-9293

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000296 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 4486674132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
24 Hour Physicians, Inc Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Hillcrest Baptist Medical Center Past Accepting new patients

Locations

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1770645046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 TEAKWOOD DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767122426",
            "telephone_number": "254-772-9293",
            "fax_number": "254-772-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127910",
            "telephone_number": "254-751-4180",
            "fax_number": "254-751-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWID",
        "first_name": "MARK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K3363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.