Mark a. Isaeff, MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARK A. ISAEFF, MD PA

Practice address

1303 McCullough Ave
542
San Antonio, TX 78212-5609

Phone

(210) 572-4431

Fax

(210) 572-4435

NPI assigned

Jan 16, 2011

Organization subpart

No

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

Authorized official

Name

Mark A Isaeff, MDNPI 1104815075

Title

President

Phone

(210) 572-4431

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Isaeff, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1104815075
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1891090221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "542",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-572-4431",
            "fax_number": "210-572-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "address_2": "542",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-572-4431",
            "fax_number": "210-572-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. ISAEFF, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-16",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "ISAEFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-572-4431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218930001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haneen Marji, MD
• Marjorie F. Lopez
• Mark a Hinton, MD PLLC (Child and Family Behavior Options)
• Mark a Rodriguez MD, PA
• Mark a. Cavazos, D.D.S., PLLC
• Mark a. Melish, M.D., P.a.
• Mark a. Slosar O.D. PLLC
• Mark B Weinstein, M.D.,P.a.
• Mark Drogin, M.D. P.a.
• Mark H. Tompkins, D.P.M., P.C.

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician 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.
• 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.