Individual provider Active NPI

Mark Allen Flesher, PA-C

  • Physician Assistant
  • Benbrook, TX
National Provider Identifier
1780867002
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6311 Southwest Blvd
Benbrook, TX 76132-1063
Phone
(817) 731-9400
Fax
(817) 731-4282
NPI assigned
Dec 10, 2007
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

6311 Southwest Blvd
Benbrook, TX 76132-1063

Mailing address

6311 Southwest Blvd
Benbrook, TX 76132-1063
Phone (817) 731-9400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000610 TX Practitioner - Physician Assistant 5092885020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
Joseph Daniels DOGroup PAC ID 1456355031, 4 clinicians

Practice addresses (Care Compare)

6116 Lake Worth Blvd
Suite 100
Lake Worth, TX 76135-3703
Phone (817) 984-3260

6311 Southwest Blvd
Benbrook, TX 76132-1063
Phone (817) 731-9400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Feb 21, 2018 Accepting new patients
Doctx3 PLLC CurrentSince Feb 21, 2018 Accepting new patients
Joseph Daniels, DO CurrentSince Aug 17, 2009 Accepting new patients
Deepak V Chavda MD PA Past Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

6311 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-9400

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

Interoperability endpoints

  • Direct secure messaging: mark.flesher.1@20617.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1780867002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761321063",
            "telephone_number": "817-731-9400",
            "fax_number": "817-731-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761321063",
            "telephone_number": "817-731-9400",
            "fax_number": "817-731-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESHER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.