Active NPI
Mark B Layman, M.D.
- Internal Medicine Physician
- Seminole, TX
National Provider Identifier
1790789303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K9104
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121479 | Other | TX | CHIPS NUMBER |
| 117485100 | Other | TX | FIRSTCARE ID |
| 096903202 | Medicaid | TX | |
| 0047DY | Other | TX | BCBS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| K9104 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.