Active NPI
Robert Marcus Jr., MD
- Therapeutic Radiology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- 29054
- Practice address
- 1545 Airport Blvd
Suite 1000
Pensacola, FL 32504-8615 - Phone
- (850) 416-6770
- Fax
- (850) 416-7770
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 029347 | GA | |
| Therapeutic Radiology Physician | 2085R0203X | 29054 | FL | Primary |
Addresses
Primary practice location
1545 Airport Blvd
Suite 1000
Pensacola, FL 32504-8615
Mailing address
PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 416-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000189400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Florida College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone (573) 727-2773
3098 Oak Grove Rd
Poplar Bluff, MO 63901-8938
Phone (855) 444-7276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029347 | GA | MD | Radiation Oncology Physician |
| 29054 | FL | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poplar Bluff Hma Physician Management, LLC | Current | Accepting new patients | |
| Kansas City Urology Care, P.a. | Current | Accepting new patients | |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Tanner Medical Group Inc | Current | Accepting new patients |
Locations
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
165 Clinic Ave
Carrollton, GA 30117
Phone (770) 836-9824
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985
17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875
4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234
3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600
Interoperability endpoints
- rmarcus@shhpens.direct.varian.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1598710147
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1023024189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-6770",
"fax_number": "850-416-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 AIRPORT BLVD",
"address_2": "SUITE 1000",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048615",
"telephone_number": "850-416-6770",
"fax_number": "850-416-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "GA",
"license": "029347",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "FL",
"license": "29054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000189400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.