Individual provider Active NPI

Mark B Layman, M.D.

  • Internal Medicine Physician
  • Seminole, TX
National Provider Identifier
1790789303
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9104 Issued in TX
Practice address
208 NW 8TH St
Ste 1
Seminole, TX 79360-3448
Phone
(432) 758-6363
Fax
(432) 758-6550
NPI assigned
Jun 10, 2005
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K9104 TX Primary

Addresses

Primary practice location

208 NW 8TH St
Ste 1
Seminole, TX 79360-3448

Mailing address

PO Box 836
Loop, TX 79342-0836
Phone (806) 487-6480

Other identifiers 4

IdentifierTypeStateIssuer
121479OtherTXCHIPS NUMBER
117485100OtherTXFIRSTCARE ID
096903202MedicaidTX
0047DYOtherTXBCBS OF TEXAS

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
I20101227000277 TX Practitioner - Internal Medicine 7416145016 Practice locations: Seminole, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9104TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Hospital District of Gaines County Texas Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1790789303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "LOOP",
            "state": "TX",
            "postal_code": "793420836",
            "telephone_number": "806-487-6480",
            "fax_number": "806-487-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NW 8TH ST",
            "address_2": "STE 1",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "793603448",
            "telephone_number": "432-758-6363",
            "fax_number": "432-758-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMAN",
        "first_name": "MARK",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS NUMBER",
            "identifier": "121479",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE ID",
            "identifier": "117485100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096903202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0047DY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, TX

Sources for this page

Verify at the official NPI Registry.