MARK EDWARD ATHANS, LSA — NPI 1093833576 (Licensed & Credentialed Specialist/Technologist, Other, Surgical Assistant in WILLIS, TX)

CMS-1500 Box 24J / 33a • NPI

1093833576

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

246ZC0007X

Licensed & Credentialed Specialist/Technologist, Other, Surgical Assistant

Box 32 Service Location & ZIP+4

15103 TX-75, #242, WILLIS, TX, 77378

Official NPPES Practice Location

Practice Phone & Referral Fax

(214) 227-2457

Fax: (214) 764-0880

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093833576 (MARK EDWARD ATHANS, LSA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093833576` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARK EDWARD ATHANS, LSA
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Other, Surgical Assistant NUCC Code: `246ZC0007X` (Specialist/Technologist, Other, Surgical Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15103 TX-75, #242, WILLIS, TX, 77378
Practice Telephone / Fax	Tel: (214) 227-2457 \| Fax: (214) 764-0880
Administrative Mailing Address	PO BOX 3005, WILLIS, TX, 77378-3005
Enumeration & Last Sync	Enumerated: 2007-03-26 \| CMS Record Updated: 2024-08-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15103 TX-75, #242, WILLIS, TX, 77378

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Plain-English Taxonomy & CMS Crosswalk (246ZC0007X)

What Does Taxonomy Code 246ZC0007X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246ZC0007X translates to:
"Licensed & Credentialed Specialist/Technologist, Other, Surgical Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Other, Surgical Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARK EDWARD ATHANS, LSA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`246ZC0007X` — Specialist/Technologist, Other, Surgical Assistant Plain English: Licensed & Credentialed Specialist/Technologist, Other, Surgical Assistant	State: TX \| License: `SA00029` \| Primary: Yes (Primary)

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MARK EDWARD ATHANS, LSA (NPI #1093833576)