MARK D PRINCE (NPI# 1629061171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061171 |
| Entity Type | Individual |
| Full Name | MARK D PRINCE |
| Credential | MD |
| Practice Address |
910 E Houston St Ste 470 Tyler TX 75702-8365 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9035108718 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
P8720 | TX | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35969 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 338983502 | 05 | |
| TX | RAIL ROAD MEDICARE | P01812747 | 01 |
| TX | 338983501 | 05 | |
| TX | TRICARE | 75-2616977-054 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487124517 | Mark Anthony Prince | Psychologist | 1876 Campus Delivery # Clarkc07, Fort Collins, CO 80523-1876 | 2018-12-02 |
| 1184712606 | Mark E Prince | Otolaryngology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-10 |
| 1790708568 | Mark D Prince | Family Medicine | 2030 Bluegrass Cir, Cheyenne, WY 82009-7328 | 2006-07-25 |
| Street Address |
910 E HOUSTON ST STE 470 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053324343 | Craig Michael Radford | Internal Medicine | 1720 South Beckham, Tyler, TX 75701 | 2006-08-15 |
| 1265445886 | L Don Freeman | Internal Medicine | 1720 S Beckham Ave, Tyler, TX 75701 | 2006-08-14 |
| 1073526604 | George Aaron Duvall | Internal Medicine | 1720 South Beckham Ave, Tyler, TX 75701 | 2006-08-14 |
| 1285619205 | Xiaotuan Zhao | Internal Medicine | 910 E Houston St Ste 550, Tyler, TX 75702-8366 | 2005-12-13 |
| 1144632621 | Aligned Providers of East Texas | Internal Medicine | 1783 Troup Hwy, Tyler, TX 75701-5869 | 2014-06-02 |
| 1952557282 | Ebube Mbanu Nwaigwe | Internal Medicine | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2008-08-18 |
| 1982880647 | Elias I Fanous Jr Md Pa | Internal Medicine | 700 Olympic Plaza Cir, Suite 508, Tyler, TX 75701-1951 | 2008-01-11 |
| 1649308842 | Gastroenterology Associates of Tyler Pa | Internal Medicine | 700 Olympic Plaza Cir, 407, Tyler, TX 75701-1951 | 2007-03-01 |
| 1689788838 | Digestive Health Specialists of Tyler | Internal Medicine | 1720 South Beckham, Tyler, TX 75701 | 2006-08-17 |
| 1811900194 | Kevin Dwight Green | Internal Medicine | 1720 South Beckham Ave, Tyler, TX 75701 | 2006-08-15 |
| Find all providers in TYLER | ||||
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| 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.