STEPHEN L. MARK (NPI# 1407866403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407866403 |
Entity Type | Individual |
Full Name | STEPHEN L. MARK |
Credential | M. D. |
Practice Address |
405 Londonderry Dr Ste 202 Waco TX 76712-7921 |
Practice Telephone | 2547726770 |
Practice Fax Number | 2547728471 |
Mailing Telephone | 2547726770 |
Mailing Fax Number | 2547728471 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E2703 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS BLUE SHIELD | 00R970 | 01 |
Street Address |
405 LONDONDERRY DR STE 202 |
City | WACO |
State | TX |
Zip Code | 76712-7921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
Find all providers in zip 76712 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225342926 | Geoffrey May | Psychiatry & Neurology | 4800 Memorial Drive (151c), Waco, TX 76711 | 2010-08-05 |
1063658524 | Jean Nerva Dortilus | Psychiatry & Neurology | 3500 Hillcrest Dr Ste 7, Waco, TX 76708-3144 | 2009-01-05 |
1528227063 | Joshua J Warren | Psychiatry & Neurology | 6001 W Waco Dr Ste M, Waco, TX 76710-6309 | 2008-06-09 |
1891995411 | Christina Ann Chen | Psychiatry & Neurology | 1000 W State Highway 6 Ste 120, Waco, TX 76712-3787 | 2007-07-22 |
1467551531 | Babatunde Francis Fagbamiye | Psychiatry & Neurology | 4800 Memorial Dr # 94b, Waco, TX 76711-1329 | 2006-09-22 |
1396756516 | Claude Lynn Parker | Psychiatry & Neurology | Central Texas Veterans Affairs Hospital, 4800 Memorial Dr, Waco, TX 76711-0000 | 2006-08-11 |
1215947221 | Lance G Oberg | Psychiatry & Neurology | 7300 Bosque Blvd., Waco, TX 76710 | 2006-08-09 |
1366422123 | Tony A Payson | Psychiatry & Neurology | 213a Old Hewitt Rd, Waco, TX 76712-6647 | 2006-01-18 |
1588658298 | Allen L Hueston | Psychiatry & Neurology | 110 S 12th St, Waco, TX 76701-1810 | 2005-09-08 |
1861494700 | Kirk Steven Dutton | Psychiatry & Neurology | 1316 Washington Ave, Waco, TX 76701-1129 | 2005-08-11 |
Find all providers in WACO |
Please comment or provide details below to improve the information on STEPHEN L. MARK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.