Active NPI
Rufus J. Mark, M.D., P.a.
- Radiation Oncology Physician
- Lubbock, TX
National Provider Identifier
1891987434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- L2445
- Legal business name
- RUFUS J. MARK, M.D., P.A.
- Practice address
- 4101 22ND PL
Lubbock, TX 79410-1121 - Phone
- (806) 796-1122
- Fax
- (806) 796-1401
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rufus J Mark, M.D.
- Title
- President
- Phone
- (806) 796-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | L2445 | TX | Primary |
Addresses
Primary practice location
4101 22ND PL
Lubbock, TX 79410-1121
Mailing address
4302 22ND PL
Lubbock, TX 79410-1140
Phone (806) 796-1122
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DP0481 | Other | TN | RAILROAD MEDICARE |
| NM007M14 | Other | NM | BCBS-NM GROUP |
| 18601260 | Medicaid | NM | |
| DN1664 | Other | NM | RAILROAD MEDICARE |
| 1958159 | Medicaid | TX | |
| 00038RV | Other | TX | BCBS TX |
| 1958159 | Other | TX | MEDICAID TX |
National Provider Directory
National Provider DirectoryLocations
2219 Dillon Rd
Clovis, NM 88101
Phone (505) 769-7365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249948800000",
"number": "1891987434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101140",
"telephone_number": "806-796-1122",
"fax_number": "806-796-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101121",
"telephone_number": "806-796-1122",
"fax_number": "806-796-1401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUFUS J. MARK, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-17",
"last_updated": "2009-08-11",
"status": "A",
"authorized_official_last_name": "MARK",
"authorized_official_first_name": "RUFUS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-796-1122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "L2445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DP0481",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-NM GROUP",
"identifier": "NM007M14",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18601260",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DN1664",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1958159",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "00038RV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TX",
"identifier": "1958159",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.