Mark D Whitesides (NPI# 1487602520, PAC ID# 9638127715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1487602520 |
| PAC ID by PECOS | 9638127715 |
| Professional Enrollment ID | I20050111000362 |
| Full Name | Mark D Whitesides |
| Organization Legal Name | SOUTHWEST AUSTIN FOOT AND ANKLE CLINIC, PLLC |
| Address |
5625 Eiger Rd Suite 110 Austin TX 78735-8978 |
| Phone Number | 5124474122 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7719119148 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450713 | ST DAVID'S SOUTH AUSTIN MEDICAL CENTER |
| 450431 | ST DAVID'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5625 Eiger Rd, Suite 110, Austin, TX 78735-8978 | 5124474122 | SOUTHWEST AUSTIN FOOT AND ANKLE CLINIC, PLLC |
| Organization Legal Name | SOUTHWEST AUSTIN FOOT AND ANKLE CLINIC, PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vi Hoang Nguyen | Podiatry | Southwest Austin Foot and Ankle Clinic, Pllc | 5625 Eiger Rd, Suite 110, Austin, TX 78735-8978 |
| Kim Le Dao | Podiatry | Southwest Austin Foot and Ankle Clinic, Pllc | 5625 Eiger Rd, Suite 110, Austin, TX 78735-8978 |
| Katherine Marie Adams | Podiatry | Southwest Austin Foot and Ankle Clinic, Pllc | 170 Benney Ln, Suite 100, Dripping Springs, TX 78620-5566 |
| Street Address |
5625 EIGER RD SUITE 110 |
| City | AUSTIN |
| State | TX |
| Zip | 78735-8978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Schoch Iii | Orthopedic Surgery | Orthopaedic Associates of Central Tx Pa | 5625 Eiger Rd, Suite 175, Austin, TX 78735-8981 |
| Darren Eugene Geyer | Family Medicine | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Robert J Ondash | Internal Medicine | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Ellyn Scholz Lizakowski | Nurse Practitioner | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Maryann Sandy | Family Medicine | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Robina N Poonawala | Family Medicine | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Rita M Schultz | Family Medicine | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Alen Ajanovic | Family Medicine | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Mark C Dawson | Family Medicine | South Austin Family Practice Clinic LLP | 5625 Eiger Rd, 200 Premier Family Physicians, Austin, TX 78735-8982 |
| Gordon P Marshall | Orthopedic Surgery | Orthopaedic Associates of Central Tx Pa | 5625 Eiger Rd, Suite 175, Austin, TX 78735-8981 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Marie Haven | Optometry | Capital Optometry Group, Pa | 5353 W Hwy 290, Suite 102, Austin, TX 78735-0046 |
| Manish K Patel | Optometry | Capital Optometry Group, Pa | 5353 W Hwy 290, Suite 102, Austin, TX 78735-0046 |
| Sara A Westgate | Neurology | 5900 Southwest Pkwy, Suite 401, Austin, TX 78735-6202 | |
| Christina H Wilson | Podiatry | 4409 Gaines Ranch Loop, Austin, TX 78735-6555 | |
| Robert A Ramp | Optometry | 5017 W Hwy 290, Sunset Valley Eyecare, Austin, TX 78735-6703 | |
| Stacey Hilts Rosas | Clinical Social Worker | 4425 S Mopac Expy, Bldg 2 Suite 102, Austin, TX 78735-6710 | |
| William P Noble Ii | Family Medicine | St Davids Carenow Urgent Care Pllc | 5033 W Hwy 290, Carenow, Austin, TX 78735-6751 |
| Sholeh Behbahani | Physician Assistant | St Davids Carenow Urgent Care Pllc | 5033 W Hwy 290, Carenow, Austin, TX 78735-6751 |
| Zachary Cerini | Family Medicine | St Davids Carenow Urgent Care Pllc | 5033 W Hwy 290, Carenow, Austin, TX 78735-6751 |
| Seth Miller | Family Medicine | St Davids Carenow Urgent Care Pllc | 5033 W Hwy 290, Carenow, Austin, TX 78735-6751 |
| Find all physicians in zip 78735 | |||
| City | AUSTIN |
| Zip Code | 78735 |
| Specialty | PODIATRY |
| City + Specialty | AUSTIN + PODIATRY |
Please comment or provide details below to improve the information on Mark D Whitesides.
| 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.