Active NPI
George J Marck, MD
- Internal Medicine Physician
- Amarillo, TX
National Provider Identifier
1881779007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G7553
- Practice address
- 1215 S Coulter St
Suite 305
Amarillo, TX 79106-1758 - Phone
- (806) 358-1374
- Fax
- (806) 356-0045
- NPI assigned
- Oct 26, 2006
- Last updated
- Jan 20, 2011
- 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 | G7553 | TX | Primary |
Addresses
Primary practice location
1215 S Coulter St
Suite 305
Amarillo, TX 79106-1758
Mailing address
1215 S Coulter St
Suite 305
Amarillo, TX 79106-1758
Phone (806) 358-1374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114749802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G7553 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1881779007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "SUITE 305",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-358-1374",
"fax_number": "806-356-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "SUITE 305",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-358-1374",
"fax_number": "806-356-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCK",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G7553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114749802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
- Leigh Monica Babiera Mantohac
- Jenni Jo Mantooth, OTR
- David Daniel Mara, PHARMD
- Marc Henson, M.D., P.a.
- Darla Jean Marcear, M.A.,CCC-SLP
- Christopher Marez-Nevarez
- Margaret E Thurmond Anderle MD PA
- Mark D Cettie (High Plains Podiatry Group)
- Mark Malone MD PA (Advanced Pain Care)
- Mark Malone MD PA (Advanced Pain Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.