NPIMap

Individual provider Active NPI

Michael Edward Marks, M.D., P.H.D.

  • Radiation Oncology Physician
  • Anniston, AL
National Provider Identifier
1184711228
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
14449 Issued in AL
Practice address
171 Town Center Dr
Suite MPS-6
Anniston, AL 36205-4101
Phone
(256) 847-3369
Fax
(256) 847-3469
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 14449 AL Primary

Addresses

Primary practice location

171 Town Center Dr
Suite MPS-6
Anniston, AL 36205-4101

Mailing address

1400 Afflink PL
Suite 100
Tuscaloosa, AL 35406-2289
Phone (205) 366-9740

Other identifiers 1

IdentifierTypeStateIssuer
136417MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, ND3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140509002037 IA Practitioner - Radiation Oncology 7810952314 Reassigns benefits to 2 organizations
I20220830000282 NE Practitioner - Radiation Oncology 7810952314 Reassigns benefits to 1 organization
I20260608002292 ND Practitioner - Radiation Oncology 7810952314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Alabama School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

150 Mercy Dr
Mercyone Dubuque Cancer Center
Dubuque, IA 52001-7320
Phone (563) 589-8024

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000

960 S Columbia Rd
Grand Forks, ND 58201-4030
Phone (701) 780-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital CurrentSince Jan 1, 2019 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Spencer Municipal Hospital CurrentSince Jan 1, 2019 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jan 1, 2023 Accepting new patients
CHI Health Clinic Specialty, LLC Radiation Oncology CurrentSince Aug 22, 2022 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jan 1, 2023 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Vanderbilt-Ingram Cancer Center Clarksville, LLC Radiation Oncology PastSince Aug 10, 2015 Accepting new patients
Southeast Cancer Network, Inc Past Accepting new patients
Southeast Cancer Network, Inc. Past Accepting new patients

Locations

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

150 Mercy Dr
Dubuque, IA 52001
Phone (563) 584-3480

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

Interoperability endpoints

  • Direct secure messaging: mmarks3925674@direct.trinity-health.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1184711228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AFFLINK PL",
            "address_2": "SUITE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062289",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DR",
            "address_2": "SUITE MPS-6",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054101",
            "telephone_number": "256-847-3369",
            "fax_number": "256-847-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "M.D., P.H.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "14449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136417",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.