Michael Alan Marks, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

31270 Issued in TN

Practice address

305 Langdon St
Somerset, KY 42503-2750

Phone

(606) 679-7441

Fax

(606) 678-9919

NPI assigned

Jan 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, KY, MA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmarks134776@wellspan.direct-ci.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Dynamic Radiology Tennessee, PC

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1588387096
  Medicare reassignment NPD
• Pratt Radiology Associates, Inc

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1154361780
  Medicare reassignment NPD
• Radiology Alliance PC

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1861478489

  KY

  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  Medicare reassignment
• Appalachian Regional Healthcare, Inc

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881

  Diagnostic Radiology

  NPD
• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Whitesburg, KY
  • NPI 1821204199
  NPD
• Bluegrass Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Somerset, KY
  • NPI 1558314534
  NPD (past)
• Lake Cumberland Regional Hospital, LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1447330451
  NPD (past)
• Monroe Medical Foundation, Inc.

  • General Acute Care Hospital
  • Tompkinsville, KY
  • NPI 1053499350
  NPD (past)
• Radcare of Tennessee PC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1538186226
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1114906898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3176",
            "city": "WEST SOMERSET",
            "state": "KY",
            "postal_code": "425643176",
            "telephone_number": "606-678-9105",
            "fax_number": "606-678-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-679-7441",
            "fax_number": "606-678-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "31270",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "35901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3837361",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Mahan
• Niha Mahboob, LPCC
• Sanaa Abdel-Rahman Mahmoud, M.D.
• Lisa Marcum, FNP
• Marilyn Mason McMillen MD PSC
• Valorie Marlow, FNP-BC
• Benjamin Marshall, M.D.
• Karen Rae Marshall
• Mark J Martin, ARNP
• George Mario Martinez, CERTIFED PSYCHOLOGIC

• Diagnostic Radiology Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.