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MR. MARK M. FAULKNER PA-C NPI 1871619700


NPI Information

NPI: 1871619700
Provider Name: MR. MARK M. FAULKNER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: WELLMED MEDICAL GROUP PA

PECOS Registration: Yes

Address:
706 W BEN WHITE BLVD
BLDG A, STE 100
AUSTIN, TX
ZIP 78704
Phone: (512) 442-1996
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MR. Mark M. Faulkner, PA-C is a medical physician assistant in Austin, TX with 25 years of experience. MR. Mark M. Faulkner, PA-C NPI is 1871619700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1999

The provider's business location address is:

706 W BEN WHITE BLVD
BLDG A, STE 100
AUSTIN, TX
ZIP 78704-034
Phone: (512) 442-1996
Fax: (512) 441-1093

The NPI 1871619700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 6/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA02627TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TXB159416OTHERTEXASWELLMED PTAN
2P-69489MEDICARE UPINTEXAS
3312361401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.