MARK E MASON (NPI# 1255414272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255414272 |
| Entity Type | Individual |
| Full Name | MARK E MASON |
| Credential | MD |
| Practice Address |
900 E Southlake Blvd Ste 100 Southlake TX 76092-6375 |
| Practice Telephone | 8174428900 |
| Practice Fax Number | 8174882490 |
| Mailing Telephone | 8174428900 |
| Mailing Fax Number | 8174882490 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | J4330 | TX | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | J4330 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 095081802 | 05 | |
| TX | SUPERIOR PIN | 124156 | 01 |
| TX | AETNA PIN | 7979112 | 01 |
| TX | FIRSTHEALTH PIN | 1210606 | 01 |
| TX | AMERIGROUP PIN | 10028366 | 01 |
| TX | 104535302 | 05 | |
| TX | FIRSTCARE PIN | 118704100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427511609 | Mark Anthony Mason | Case Manager/Care Coordinator | 836 N Dupont St, Wilmington, DE 19805-5327 | 2019-04-13 |
| 1508989641 | Mark Mason | Independent Medical Examiner | 3453 Hwy 35, Suite 110, San Antonio, TX 78219 | 2007-04-06 |
| 1831132208 | Mark Roger Mason | Counselor | 3002 Shadyside Rd, St Albans, WV 25177 | 2006-06-14 |
| 1629070735 | Mark L Mason | Dentist | 5 Riverview Dr, Fishkill, NY 12524-1422 | 2005-06-01 |
| 1366886921 | Mark Stephen Mason Jr. | Psychiatry & Neurology | 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911-4668 | 2013-04-24 |
| 1497026975 | Mark T Mason | Pharmacist | 8398 Sheldon Rd, Tampa, FL 33615-1609 | 2012-01-16 |
| 1386930626 | Mark D Mason | Surgery | 525 Branson Landing Blvd, Branson, MO 65616-2052 | 2011-06-24 |
| 1508179870 | Mark A Mason | Counselor | 20 Community Ln, Liberty, NY 12754-2851 | 2010-07-15 |
| 1386751493 | Mark T Mason | Psychiatry & Neurology | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2006-08-24 |
| 1770699340 | Mark L. Mason | Optometrist | 907 Schneider St Se, North Canton, OH 44720-3774 | 2006-08-23 |
| Street Address |
900 E SOUTHLAKE BLVD STE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568545739 | Texas Regional Asthma & Allergy Center | Specialist | 900 E Southlake Blvd, Ste 300, Southlake, TX 76092-6375 | 2006-10-23 |
| 1144789934 | Caitlin Elizabeth Pedigo | Registered Nurse | 900 E Southlake Blvd, Southlake, TX 76092-6375 | 2019-03-19 |
| 1346646528 | Destination Health | Family Medicine | 900 E Southlake Blvd, Suite 200, Southlake, TX 76092-6375 | 2014-11-14 |
| 1922329465 | Sharon Seth | Allergy & Immunology | 900 E Southlake Blvd, Suite 300, Southlake, TX 76092-6375 | 2010-06-18 |
| 1255519344 | Southlake Plastic Surgery | Oral & Maxillofacial Surgery | 900 E Southlake Blvd, Ste 100, Southlake, TX 76092-6375 | 2008-01-31 |
| 1366652208 | Alireza Allen Shakouri | Specialist | 900 E Southlake Blvd, Ste 300, Southlake, TX 76092-6375 | 2007-05-22 |
| 1285787085 | Robin Annette Hall | Family Medicine | 900 E Southlake Blvd, Suite 200, Southlake, TX 76092-6375 | 2007-01-18 |
| 1639255896 | Rene Albert Leon | Specialist | 900 E Southlake Blvd, Ste 300, Southlake, TX 76092-6375 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255519344 | Southlake Plastic Surgery | Oral & Maxillofacial Surgery | 900 E Southlake Blvd, Ste 100, Southlake, TX 76092-6375 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101053 | College Station Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 1645 Greens Prairie Rd W Ste 202, College Station, TX 77845-8414 | 2019-08-28 |
| 1922579473 | Christopher M. King, Dds, Md, Pllc | Oral & Maxillofacial Surgery | 5209 Heritage Ave Ste 220, Colleyville, TX 76034-5997 | 2018-12-10 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1508375965 | Dioms, Pllc | Oral & Maxillofacial Surgery | 9676 Bartlett Cir Ste 950, Fort Worth, TX 76108-4469 | 2017-09-28 |
| 1730625740 | Facial Head & Neck Surgery Pllc | Oral & Maxillofacial Surgery | 2317 Coit Rd Ste A, Plano, TX 75075-3774 | 2017-01-13 |
| 1821405416 | Caprock Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 5730 66th St., Lubbock, TX 79424-1224 | 2014-07-16 |
| 1487997813 | Amir All-atabakhsh | Oral & Maxillofacial Surgery | 2402 Rice Blvd Ste C, Houston, TX 77005-3203 | 2013-04-04 |
| 1225398456 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1 South, El Paso, TX 79912 | 2012-05-22 |
| 1437419652 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1-south, El Paso, TX 79912 | 2012-05-22 |
| 1689954562 | Roderick Youngdo Kim | Oral & Maxillofacial Surgery | 1500 S Main St Dept Of, Fort Worth, TX 76104-4917 | 2011-08-23 |
| Find all providers with the same taxonomy | ||||
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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.