Mark Witt, DPM

Public-record details

Address

709 Hollybrook Dr, Suite 3401, Longview, TX 75605

Phone

(903) 753-1778

Listed under

Individual podiatrists

NPI

1093782427

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Podiatrist (213E00000X)

Credentials listed

DPM

License number on NPI record

1692 (TX)

NPI first issued

Mar 3, 2006

Years since NPI first issued

20 years (since 2006)

License state on NPI record

TX

NPI record last updated

Jun 13, 2019

Texas license status (TDLR)

Current, expires Nov 1, 2028

Texas license first issued (TDLR)

Apr 30, 2004

Medicare enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians

Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Professional school graduation (CMS)

2002 (24 years ago)

Medicare group practice (CMS)

Associated Clinicians of East Texas (108 clinicians)

Practice locations on file with Medicare (CMS)

1

NPI 1093782427 is active in the federal NPPES registry (CMS) with Podiatrist as its self-reported primary taxonomy; license 1692 (TX) is listed on the record. TDLR's public license file shows this Texas podiatry license as current. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.

View NPI 1093782427 in the official registry ↗