Active NPI
Mark F Doerner, M.D.
- Internal Medicine Physician
- Allen, TX
National Provider Identifier
1922040872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L8045
- Practice address
- 1111 Raintree Cir
Suite 240
Allen, TX 75013-4901 - Phone
- (972) 908-3455
- Fax
- (972) 908-3477
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 | L8045 | TX | Primary |
Addresses
Primary practice location
1111 Raintree Cir
Suite 240
Allen, TX 75013-4901
Mailing address
1111 Raintree Cir
Suite 240
Allen, TX 75013-4901
Phone (972) 908-3455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00414826 | Other | TX | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West LPN Inc | Internal Medicine | Past | Accepting new patients |
| West LPN Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Plano, TX
- NPI 1518034933
-
- Internal Medicine Physician
- Mansfield, TX
- NPI 1639154602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1922040872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 RAINTREE CIR",
"address_2": "SUITE 240",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134901",
"telephone_number": "972-908-3455",
"fax_number": "972-908-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RAINTREE CIR",
"address_2": "SUITE 240",
"city": "ALLEN",
"state": "TX",
"postal_code": "750134901",
"telephone_number": "972-908-3455",
"fax_number": "972-908-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERNER",
"first_name": "MARK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L8045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00414826",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.