Mark M. Faulkner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02627 Issued in TX

Practice address

4715 S Lamar Blvd Ste 100
Sunset Valley, TX 78745-1308

Phone

(512) 442-1996

Fax

(512) 441-1093

NPI assigned

Mar 22, 2007

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment NPD
• Wellmed Medical Group, P.a.

  dba WellMed Doctor's Hospital Senior Clinic

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1740588243
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1871619700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 S LAMAR BLVD STE 100",
            "city": "SUNSET VALLEY",
            "state": "TX",
            "postal_code": "787451308",
            "telephone_number": "512-442-1996",
            "fax_number": "512-441-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 S LAMAR BLVD STE 100",
            "city": "SUNSET VALLEY",
            "state": "TX",
            "postal_code": "787451308",
            "telephone_number": "512-442-1996",
            "fax_number": "512-441-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "MARK",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Chitrit, MD
• Cecilia Darilek, DPT
• Dental Health Associates of Texas, PC (Excel Dental Care)
• Theodora Marie Dombkowski
• Eye Pro, PLLC
• Sarah Francis, LMFTA
• Richard Lamar Franklin, OPTICAN
• Alejandra Garza, M.D.
• Patricia R Grones, MSPT
• Casey Paul Hamilton, PT

• Medical Physician Assistant in Sunset Valley, TX
• Providers in Sunset Valley, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.

Verify at the official NPI Registry.