Mark David Herbst, M.D., PH.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME 60533 Issued in FL

Practice address

3900 Central Ave
St Petersburg, FL 33711-1238

Phone

(727) 327-5006

Fax

(727) 327-3077

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Clearwater Resources Inc

  • Diagnostic Radiology Physician
  • Clearwater, FL
  • NPI 1306839493

  Diagnostic Radiology

  NPD (past)
• MRI-South Umberton Inc

  • Diagnostic Radiology Physician
  • Pinellas Park, FL
  • NPI 1801889902

  Diagnostic Radiology

  NPD (past)
• Sra Ventures Inc

  • Radiology Clinic/Center
  • Odessa, FL
  • NPI 1295069672
  NPD (past)
• Sra Ventures Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • St Petersburg, FL
  • NPI 1760799258
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225129083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111238",
            "telephone_number": "727-327-5006",
            "fax_number": "727-327-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111238",
            "telephone_number": "727-327-5006",
            "fax_number": "727-327-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBST",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 60533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Ann Henry, LMT
• Samantha Ashley Hensley, APRN
• Ashley Henson, RT
• Her Signature Wigs, LLC
• Indira Latoya Herbert
• Here We Grow Pediatrics, P.a.
• Taylor N Hermann, DO
• Mary Jane Hermanns, PSYCHIATRIC NP
• Howard F Hermans, M.D.
• Dedra Hern, CRNA

• All providers in St Petersburg, FL
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.