Active NPI
Mark Allen Byard, MD
- Urology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 26286
- Practice address
- 4370 W Main St
Dothan, AL 36305-1056 - Phone
- (334) 793-5000
- Fax
- (334) 615-8418
- NPI assigned
- Sep 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 26286 | AL | Primary |
Addresses
Primary practice location
4370 W Main St
Dothan, AL 36305-1056
Mailing address
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051555203 | Medicaid | AL | |
| 945575290A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, KY, OH
- 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
- Urology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 W Main St
Dothan, AL 36305-1058
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-4613
Hospital & facility affiliations
- Providence Alaska Medical Center
- Flowers Hospital
- Alaska Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26286 | AL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Urology | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Urology | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Wiregrass Clinic LLC | Urology | Current | Accepting new patients |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
336 29th St
Ste 100
Ashland, KY 41101
Phone (606) 324-4404
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
1532 Lone Oak Rd
Ste 310
Paducah, KY 42003
Phone (270) 443-0777
272 Hospital Rd
Ste 6
Chillicothe, OH 45601
272 Hospital Rd
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Interoperability endpoints
- mark.byard.2@3326.direct.athenahealth.com
- mbyard344316@ahs.direct-ci.com
Organizations & group practices 8
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.
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
Urology
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922243690
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1043205164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051056",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051056",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYARD",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "26286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051555203",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "945575290A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.