Active NPI
Walker Baptist Medical Center-Mark Roberts MD
- Diagnostic Radiology Physician
- Jasper, AL
National Provider Identifier
1023291903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD
- Practice address
- 3400 Highway 78 East; Medical Arts Tower
Suite 218
Jasper, AL 35501-8951 - Phone
- (205) 387-4472
- Fax
- (205) 387-4753
- NPI assigned
- Dec 13, 2007
- Last updated
- Jul 11, 2008
- Organization subpart
- Yes
- Parent organization
- BAPTIST HEALTH CENTERS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John M. Blackburn
- Title
- Interim President & Ceo
- Phone
- (205) 715-5901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3400 Highway 78 East; Medical Arts Tower
Suite 218
Jasper, AL 35501-8951
Mailing address
200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102
National Provider Directory
National Provider Directory- Part of
- Baptist Health Centers LLC
Locations
3400 Highway 78 E
Ste 218
Jasper, AL 35501
Phone (205) 221-6758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1023291903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BEACON PKWY W",
"address_2": "SUITE 330",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352093102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 HIGHWAY 78 EAST; MEDICAL ARTS TOWER",
"address_2": "SUITE 218",
"city": "JASPER",
"state": "AL",
"postal_code": "355018951",
"telephone_number": "205-387-4472",
"fax_number": "205-387-4753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAPTIST HEALTH CENTERS, INC",
"enumeration_date": "2007-12-13",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "BLACKBURN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "INTERIM PRESIDENT & CEO",
"authorized_official_telephone_number": "205-715-5901"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0287)
- Wal-Mart Stores East, LP (Vision Center 30-0287)
- Patricia Ann Waldrop, PMHNP-BC
- Walgreen Co (Walgreens #09683)
- Walker Baptist Medical Center Home Health
- Walker Comprehensive Pain Center, PC
- Walker County
- Walker County Health Department
- Walker County Health Dept Adult Immun
- Walker County Health Dept AIDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.