NPIMap

Individual provider Active NPI

Mark R Klein, DO

  • Family Medicine Physician
  • Gainesville, TX
National Provider Identifier
1982686390
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5586 Issued in TX
Practice address
1625 N Grand Ave
Gainesville, TX 76240
Phone
(940) 665-9863
Fax
(940) 668-9863
NPI assigned
Nov 19, 2005
Last updated
Nov 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5586 TX Primary

Addresses

Primary practice location

1625 N Grand Ave
Gainesville, TX 76240

Mailing address

PO Box 1239
Gainesville, TX 76241-1239
Phone (940) 665-9863

Other identifiers 2

IdentifierTypeStateIssuer
0050ENOtherTXBCBS
112013101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000670 TX Practitioner - Family Practice 6305910381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1625 N Grand Ave
Gainesville, TX 76240-2343
Phone (940) 665-9863

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
K5586TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark R. Klein, D.O. & Associates, PLLC Family Medicine CurrentSince May 1, 2008 Accepting new patients
Michelle Abbe Hacker, PLLC Current Accepting new patients
Robert R. McLeroy, M.D. & Associates a Professional LLC Family Medicine Current Accepting new patients

Locations

1625 N Grand Ave
Gainesville, TX 76240
Phone (940) 382-6757

Interoperability endpoints

  • Direct secure messaging: markklein@mlgk.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1982686390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762411239",
            "telephone_number": "940-665-9863",
            "fax_number": "940-668-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GRAND AVE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "76240",
            "telephone_number": "940-665-9863",
            "fax_number": "940-668-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0050EN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112013101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.