Organization Active NPI

San Marcos Orthopedics, PLLC

  • Orthopaedic Surgery Physician
  • San Marcos, TX
National Provider Identifier
1881032654
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SAN MARCOS ORTHOPEDICS, PLLC
Practice address
1310 Wonder World Dr Ste 115
San Marcos, TX 78666-8351
Phone
(512) 878-4203
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Mark McDonnellNPI 1477526374
Title
MD/Owner
Phone
(512) 878-4203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1310 Wonder World Dr Ste 115
San Marcos, TX 78666-8351

Mailing address

1310 Wonder World Dr Ste 115
San Marcos, TX 78666-8351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210002322 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5294147542 Practice locations: San Marcos, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1881032654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WONDER WORLD DR STE 115",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786668351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WONDER WORLD DR STE 115",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786668351",
            "telephone_number": "512-878-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARCOS ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "512-878-4203"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.