Organization Active NPI

Rufus J. Mark, M.D., P.a.

  • Radiation Oncology Physician
  • Lubbock, TX
National Provider Identifier
1891987434
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
L2445 Issued in TX
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

Updated by the provider on Aug 11, 2009

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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DP0481OtherTNRAILROAD MEDICARE
NM007M14OtherNMBCBS-NM GROUP
18601260MedicaidNM
DN1664OtherNMRAILROAD MEDICARE
1958159MedicaidTX
00038RVOtherTXBCBS TX
1958159OtherTXMEDICAID TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.