Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Wathen, MD

Individual provider Internal Medicine Physician · NPI 1104925536

Mark Wathen, MD is a Cardiac Electrophysiology in Cookeville, Tennessee. Graduated from Louisiana State University School of Medicine in New Orleans in 1984, 42 years ago. Practices with Crmc MSO Sub 1 Incorporated, a 21-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
42
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

228 W 4th St Ste 200
Cookeville, TN 38501-2488
Phone: (931) 372-0405
Fax: (931) 372-0463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 23921 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 23921 (TN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 23921 (TN)

Record details

NPI number1104925536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022
Mailing address228 W 4th St, Suite 200, Cookeville, TN 38501-2488

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1984 (42 years in practice)
Group practice Crmc Mso Sub 1 Incorporated — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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