Active NPI
Jonathan Marshall, DO
- Diagnostic Radiology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 270540
- Practice address
- 462 Grider St
Buffalo, NY 14215-3021 - Phone
- (716) 898-3000
- NPI assigned
- Feb 3, 2009
- Last updated
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | V3785 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 21991 | ND | |
| Diagnostic Radiology Physician | 2085R0202X | 270540 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | OS20405 | FL |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3021
Mailing address
908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-2160
Other practice location 1
2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565
Other practice location 2
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, AZ, AL, WI, FL, TX, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Scottsdale, AZ 85266
Phone (469) 677-7430
Marana, AZ 85653
Phone (605) 328-1410
1015 Medical Ctr Pkwy
Selma, AL 36701-6748
Phone (334) 418-4100
18444 N 25TH Ave
Suite 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 269-6337
2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100
28611 N 71St St
Scottsdale, AZ 85266-8550
Phone (888) 264-0330
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
4664 Broadwick St
Montgomery, AL 36116-6818
Phone (866) 722-1655
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
8081 Highland Farms Dr
East Amherst, NY 14051-2505
Phone (800) 889-8610
PO Box
Suite 130
Wetumpka, AL 36092
Hospital & facility affiliations
- The East Alabama Healthcare Authority
- Baptist Medical Center South
- Baptist Medical Center East
- Vaughan Regional Medical Center Parkway Campus
- Ascension St John Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 508 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20405 | FL | MD | Diagnostic Radiology Physician |
| 21991 | ND | MD | Diagnostic Radiology Physician |
| 270540 | NY | MD | Diagnostic Radiology Physician |
| 008201 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montgomery Radiology Associates, PA | Current | Accepting new patients | |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Physical Express | Family Medicine | Current | Accepting new patients |
| Center for Orthopedic Research and Education LLC | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| St Lawrence Radiology Assoc PC | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Family Medicine | Current | Accepting new patients |
| Wetumpka Urgent Care LLC | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Center for Orthopedic Research and Educatoin | Current | Accepting new patients | |
| Enterprise Urgent Care | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Chilton Family Care, LLC | Family Medicine | Current | Accepting new patients |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current | Accepting new patients |
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Current | Accepting new patients | |
| Upstate Radiology, PC | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Family Medicine | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| River Region Family Medicine, LLC | Family Medicine | Current | Accepting new patients |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ivy Creek Family Care of Lake Martin | Family Medicine | Current | Accepting new patients |
| Coaxion PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Selma Radiology Associates P C | Current | Accepting new patients | |
| Alabama Imaging PC | Current | Accepting new patients | |
| Sun View Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Olean Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Peterson Medical Associates | Family Medicine | Current | Accepting new patients |
| Southwest Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Tomah Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Subspecialist of New York | Past | Accepting new patients | |
| Ivycreek of Elmore LLC | Past | Accepting new patients | |
| Integral Vein Institute LLC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Xray Consultants, LTD | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations (25 of 110)
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620
4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027
4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222
2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111
2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100
2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309
500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
16838 E Palisades Blvd
Ste C151
Fountain Hills, AZ 85268
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
3645 S Rome St
Ste 101
Gilbert, AZ 85297
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420
5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002
5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999
Interoperability endpoints
- jonathan.marshall.1@22724.direct.athenahealth.com
Organizations & group practices 46
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
Family Medicine
-
dba Sanford Clinic Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1912932997
AZ
-
dba Ivy Creek Family Care of Tallassee
- Rural Health Clinic/Center
- Tallassee, AL
- NPI 1558868323
-
- Diagnostic Radiology Physician
- West Islip, NY
- NPI 1255962783
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center East
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
dba Baptist Medical Center South
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
dba East Alabama Medical Center
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
-
dba Vaughan Regional Medical Center
- Rural Acute Care Hospital
- Selma, AL
- NPI 1871655993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1952549644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD STE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-2160",
"fax_number": "716-213-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153021",
"telephone_number": "716-898-3000"
}
],
"practiceLocations": [
{
"address_1": "2101 Pease St",
"address_purpose": "LOCATION",
"city": "Harlingen",
"state": "TX",
"postal_code": "785508307",
"country_code": "US",
"telephone_number": "956-389-6565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4250 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324461917",
"country_code": "US",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-03",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V3785",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ND",
"license": "21991",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "270540",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS20405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.