Organization Active NPI

Mark a. Clothier, M.D., P.a.

  • Internal Medicine Physician
  • Winnsboro, TX
National Provider Identifier
1982911244
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G4920 Issued in TX
Legal business name
MARK A. CLOTHIER, M.D., P.A.
Practice address
600 E Coke Rd
Winnsboro, TX 75494-3418
Phone
(903) 342-3651
Fax
(903) 342-6747
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Mark A. Clothier, M.D.
Title
President
Phone
(903) 342-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G4920 TX Primary

Addresses

Primary practice location

600 E Coke Rd
Winnsboro, TX 75494-3418

Mailing address

600 E Coke Rd
Winnsboro, TX 75494-3418
Phone (903) 342-3651

Other identifiers 2

IdentifierTypeStateIssuer
005445801MedicaidTX
060004887OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1982911244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943418",
            "telephone_number": "903-342-3651",
            "fax_number": "903-342-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E COKE RD",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754943418",
            "telephone_number": "903-342-3651",
            "fax_number": "903-342-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. CLOTHIER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "CLOTHIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-342-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005445801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060004887",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.