Mark Haverkorn (NPI# 1568672996, PAC ID# 8921153883) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1568672996 |
| PAC ID by PECOS | 8921153883 |
| Professional Enrollment ID | I20090831000040 |
| Full Name | Mark Haverkorn |
| Organization Legal Name | SAN ANTONIO SURGICAL ARTS, PA |
| Address |
6501 Blanco Rd San Antonio TX 78216-6627 |
| Phone Number | 2103417264 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2003 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 9537164488 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450388 | METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6501 Blanco Rd, San Antonio, TX 78216-6627 | 2103417264 | SAN ANTONIO SURGICAL ARTS, PA |
| Organization Legal Name | SAN ANTONIO SURGICAL ARTS, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| La Van R Parker Iii | Oral Surgery | San Antonio Surgical Arts, Pa | 1572 E Common St, New Braun Oral and Max, New Braunfels, TX 78130-3113 |
| David V Malave | Oral Surgery | San Antonio Surgical Arts, Pa | 6501 Blanco Rd, San Antonio, TX 78216-6627 |
| Michael B Gissell Jr. | Oral Surgery | San Antonio Surgical Arts, Pa | 403 N Milam St, Seguin, TX 78155-4946 |
| Michael A Casillas | Oral Surgery | San Antonio Surgical Arts, Pa | 1572 E Common St, New Braun Oral and Max, New Braunfels, TX 78130-3113 |
| Street Address |
6501 BLANCO RD |
| City | SAN ANTONIO |
| State | TX |
| Zip | 78216-6627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David V Malave | Oral Surgery | San Antonio Surgical Arts, Pa | 6501 Blanco Rd, San Antonio, TX 78216-6627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry H Herrera | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, Suite 900, San Antonio, TX 78216 |
| Hanya Adadeer Habib | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, San Antonio, TX 78216 |
| Maciej Franciszek Babinski | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, San Antonio, TX 78216 |
| Diane R. Biery | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, San Antonio, TX 78216 |
| Inocencio A Davila | Anesthesiology | Star Anesthesia, P.a. | 45 Ne Loop, Suite 900, San Antonio, TX 78216 |
| Steven P. Snider | Podiatry | 300 W Bitters Rd, Suite 205, San Antonio, TX 78216-1691 | |
| Nefertiti Weaver-borton | Nurse Practitioner | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
| Angela R Scalzi | Family Medicine | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
| Paul Thomas Duncan | Family Medicine | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
| Glenda Jean Peters-do M.d | Family Medicine | Tmc Provider Group Pllc | 13722 Embassy Row, San Antonio, TX 78216-2000 |
| Find all physicians in zip 78216 | |||
| City | SAN ANTONIO |
| Zip Code | 78216 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | SAN ANTONIO + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Mark Haverkorn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.