MR. MARK M. FAULKNER (NPI# 1871619700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871619700 |
| Entity Type | Individual |
| Full Name | MR. MARK M. FAULKNER |
| Credential | PA-C |
| Practice Address |
706 W Ben White Blvd Bldg A, Ste 100 Austin TX 78704-7034 |
| Practice Telephone | 5124421996 |
| Practice Fax Number | 5124411093 |
| Mailing Telephone | 5124421996 |
| Mailing Fax Number | 5124411093 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02627 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 312361401 | 05 | |
| TX | WELLMED PTAN | TXB159416 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689735490 | Mark Allen Faulkner | Physical Therapist | 1311 Palmyra Ave, Richmond, VA 23227-4418 | 2006-12-13 |
| 1497840581 | Mark Collen Faulkner | Dentist | 5416 South Yale, Suite # 125, Tulsa, OK 74135-6239 | 2006-10-04 |
| 1679172712 | Mark Joseph Faulkner | Pharmacist | 3139 Highway 278 Ne, Covington, GA 30014-2301 | 2020-10-20 |
| Street Address |
706 W BEN WHITE BLVD BLDG A, STE 100 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757641 | Josef Edward Holme | Family Medicine | 706 W Ben White Blvd, Bldg A, Ste 100, Austin, TX 78704-7034 | 2005-11-16 |
| 1073167763 | Jamie Jones | Nurse Practitioner | 706 W Ben White Blvd, Austin, TX 78704-8124 | 2019-07-31 |
| 1699135665 | Rebecca Marquez | Occupational Therapist | 706 W Ben White Blvd, Austin, TX 78704-7034 | 2016-03-03 |
| 1598170433 | Rachel L. Cornella | Nurse Practitioner | 706 W Ben White Blvd, Bldg A, Ste 100, Austin, TX 78704-7034 | 2014-06-30 |
| 1891045654 | Amanda Christine Schmidt | Speech-Language Pathologist | 706 W Ben White Blvd, 150a, Austin, TX 78704-7034 | 2012-09-19 |
| 1437457710 | Wellmed Medical Group, P.a. | Internal Medicine | 706 W Ben White Blvd, Suite 100, Austin, TX 78704-7034 | 2011-03-10 |
| 1720196033 | Michael Dean Martin | Internal Medicine | 706 W Ben White Blvd, Bldg A Ste 100, Austin, TX 78704-7034 | 2006-08-27 |
| 1174564447 | John Paul Drobnica | Physician Assistant | 706 W Ben White Blvd, Bldg A, Austin, TX 78704-7034 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1588207344 | Haley Margaret Roberts | Physician Assistant | 2200 Park Bend Dr Bldg 3-300, Austin, TX 78758-5386 | 2019-10-24 |
| 1073178901 | Ndukaku Dayton Ibe | Physician Assistant | 4411 Spicewood Springs Rd Apt 208, Austin, TX 78759-8570 | 2019-05-06 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1437607793 | Danielle Marie Werge | Physician Assistant | 6601 Vaught Ranch Rd, Suite 200, Austin, TX 78730-2307 | 2016-09-15 |
| 1831556158 | Kristin Serrano | Physician Assistant | 1524 S Interstate 35, Suite 202, Austin, TX 78704-8931 | 2016-01-16 |
| 1912309675 | Rachael Lichtenberger | Physician Assistant | 11609 Anderson Mill Rd, Austin, TX 78750-1354 | 2014-09-24 |
| 1417367707 | Sarah Caroline Moody Vance | Physician Assistant | 3000 N Interstate 35 Ste 600, Austin, TX 78705-1850 | 2014-05-07 |
| 1801165485 | Maegen Ricki Kennedy | Physician Assistant | 4107 South Captial Texas Hwy Suite 100a, Austin, TX 78704 | 2011-12-28 |
| Find all providers in AUSTIN | ||||
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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.