Mark E Sowell DPM Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1449 Issued in TX

Legal business name

MARK E SOWELL DPM INC

Practice address

3316 N University Dr
Suite C
Nacogdoches, TX 75965-2632

Phone

(936) 559-1700

Fax

(936) 559-1713

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Mark E Sowell, DPM

Title

Owner

Phone

(936) 559-1700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SOWELL PODIATRY Doing business as

Locations

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1861667099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 N UNIVERSITY DR",
            "address_2": "SUITE C",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652632",
            "telephone_number": "936-559-1700",
            "fax_number": "936-559-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 N UNIVERSITY DR",
            "address_2": "SUITE C",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652632",
            "telephone_number": "936-559-1700",
            "fax_number": "936-559-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E SOWELL DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "SOWELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-559-1700",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "480029919",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0096DS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018599301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOWELL PODIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie S Malleo
• Larry D Malone, FNP
• Malonegrove Family Care & Rehabilitation LLC
• H. Lance Mandell, M.D.
• Marian Kathleen Querry DO PC
• Mark Lanier OD PC
• Mark S. Greer
• Gia Elena Marotta, M.D.
• Adlai Travis Mast III, MD
• Bill Jeffrey Mathias, MD

• Customized Equipment (DME) in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.