MARK EPHROM SOWELL (NPI# 1679517528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679517528 |
| Entity Type | Individual |
| Full Name | MARK EPHROM SOWELL |
| Credential | DPM |
| Practice Address |
3316 N University Dr Suite C Nacogdoches TX 75965-2632 |
| Practice Telephone | 9365591700 |
| Practice Fax Number | 9365591713 |
| Mailing Telephone | 9365591700 |
| Mailing Fax Number | 9365591713 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
1449 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1449 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PALMETTO DMERC | 4560260001 | 01 |
| TX | MEDICARE RAILROAD | 480029919 | 01 |
| TX | 018599301 | 05 | |
| TX | BLUE CROSS/BLUE SHIELD | 0096DS | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295973477 | Mark Sowell | Dentist | 1200 Village Creek Dr, Suite 102, Plano, TX 75093-4459 | 2009-01-27 |
| Street Address |
3316 N UNIVERSITY DR SUITE C |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245510932 | Matthew David Daugherty | Podiatrist | 3316 N University Dr, Nacogdoches, TX 75965-2632 | 2011-08-25 |
| 1861667099 | Mark E Sowell Dpm Inc | Durable Medical Equipment & Medical Supplies | 3316 N University Dr, Suite C, Nacogdoches, TX 75965-2632 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699513 | K. Danneeru Dpm Pllc | Podiatrist | 8104 Pacific St, Frisco, TX 75035-7300 | 2020-11-08 |
| 1689179327 | Southwest Austin Foot & Ankle Clinic, Pllc | Podiatrist | 170 Benney Ln Ste 100, Dripping Springs, TX 78620-5566 | 2018-03-26 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1639695406 | Advantage Foot Care of Houston, Pllc | Podiatrist | 8313 Southwest Fwy Ste 105, Houston, TX 77074-1612 | 2017-08-14 |
| 1508387549 | Barton Chase Garcia | Podiatrist | 116 Imperial Dr Ste A, Victoria, TX 77901-3948 | 2017-06-29 |
| 1609225986 | Kelly Tatum Brace | Podiatrist | Scott and White, 2401 S 31st. St., Temple, TX 76508-0001 | 2016-06-08 |
| 1164890562 | Free Foot Doctor.com | Podiatrist | 24914 Tomball Pkwy Ste 180, Tomball, TX 77375-5080 | 2015-09-02 |
| 1992069777 | Brady Mallory | Podiatrist | 1940 East Hwy 114 Suite 150, Southlake, TX 76092 | 2012-06-27 |
| 1699034728 | Joel Bruce Dacus | Podiatrist | 4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 | 2012-05-09 |
| 1619241437 | Foot Center Mcallen-weslaco Pllc | Podiatrist | 4103 N Jackson Road, Ste. 200, Mcallen, TX 78504 | 2012-02-24 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on MARK EPHROM SOWELL.
| 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.