MARK D EDEN MD PA
NPI 1114346814
Family Medicine in Fredericksburg, TX

Q: What is Mark D Eden MD PA's NPI number?

The NPI number for Mark D Eden MD PA is 1114346814. It was assigned to this organization in the NPPES registry on April 9, 2014.

Q: What is Mark D Eden MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark D Eden MD PA was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2014CLIA 45D1069077 · Microscopy

820 REUBEN ST STE B, FREDERICKSBURG, TX 78624(830) 997-9497(830) 997-5677 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark D Eden Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK D EDEN MD PA (NPI 1114346814) is a healthcare organization registered as a family medicine in Fredericksburg, Texas and active in the NPI registry since April 2014. The organization holds a CLIA Microscopy certificate valid through May 28, 2027 and lists Mark D Eden, Owner, as its authorized official.

NPPES Registry Identity

NPI1114346814

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARK D EDEN MD PA

Location Address820 REUBEN ST STE BFredericksburg, TX 78624-4583

Mailing Address820 Reuben St Ste BFredericksburg, TX 78624-4583 · (830) 997-9497 · Fax (830) 997-5677

Phone(830) 997-9497

Fax(830) 997-5677

Organization SubpartNo

Authorized OfficialMark D EdenOwner · (830) 997-9497

Enumeration DateApril 9, 2014

Last NPPES UpdateApril 28, 2014

✔ NPI 1114346814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H6187

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

820 REUBEN ST STE B, Fredericksburg, TX 78624

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1069077

Mark Eden MD PA · Fredericksburg, TX

Active · expires May 28, 2027

CLIA Number45D1069077

Laboratory TypePhysician Office

Certificate Effective DateMay 29, 2025

Certificate Expiration DateMay 28, 2027

Laboratory DirectorMark D. Eden

Laboratory Phone(830) 997-9497

Laboratory LocationMark Eden MD PA820 Ruben Street, Suite B, Fredericksburg, TX 78624

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK D EDEN MD

Family Medicine

820 REUBEN ST STE B
FREDERICKSBURG, TX 78624

Gillespie County (830) 997-9497

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark D Eden MD PA's NPI number?

The NPI number for Mark D Eden MD PA is 1114346814. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Mark D Eden MD PA located?

Mark D Eden MD PA is located at 820 Reuben St Ste B, Fredericksburg, TX 78624. The listed phone number is (830) 997-9497.

What is Mark D Eden MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mark D Eden MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1069077) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark D Eden MD PA was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.