Individual provider Active NPI

Jonathan Marshall, DO

  • Diagnostic Radiology Physician
  • Buffalo, NY
National Provider Identifier
1952549644
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
270540 Issued in NY
Practice address
462 Grider St
Buffalo, NY 14215-3021
Phone
(716) 898-3000
NPI assigned
Feb 3, 2009
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, ND8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20120822000545 NY Practitioner - Diagnostic Radiology 9830346006 Reassigns benefits to 7 organizations
I20200609001080 PA Practitioner - Diagnostic Radiology 9830346006
I20200921000545 AZ Practitioner - Diagnostic Radiology 9830346006 Reassigns benefits to 14 organizations
I20210908003275 AL Practitioner - Diagnostic Radiology 9830346006 Reassigns benefits to 15 organizations
I20250507001872 WI Practitioner - Diagnostic Radiology 9830346006 Reassigns benefits to 1 organization
I20250509002917 FL Practitioner - Diagnostic Radiology 9830346006 Reassigns benefits to 1 organization
I20250617003841 TX Practitioner - Diagnostic Radiology 9830346006 Reassigns benefits to 1 organization
I20250715002308 ND Practitioner - Diagnostic Radiology 9830346006 Reassigns benefits to 2 organizations

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
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Alabama Imaging PCGroup PAC ID 2365341328, 32 clinicians
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians
Selma Radiology Associates P CGroup PAC ID 3870497720, 28 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS20405FLMDDiagnostic Radiology Physician
21991NDMDDiagnostic Radiology Physician
270540NYMDDiagnostic Radiology Physician
008201AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Radiology Associates, PA CurrentSince Oct 1, 2021 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 17, 2020 Accepting new patients
Physical Express Family Medicine CurrentSince Dec 21, 2025 Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Jun 21, 2021 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Nov 8, 2022 Accepting new patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Mar 6, 2019 Accepting new patients
Sanford Medical Center Fargo Family Medicine Current Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Dec 21, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince May 1, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Center for Orthopedic Research and Educatoin CurrentSince Jun 21, 2021 Accepting new patients
Enterprise Urgent Care CurrentSince Dec 21, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince May 2, 2025 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Aug 25, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Dec 13, 2025 Accepting new patients
Chilton Family Care, LLC Family Medicine CurrentSince Dec 21, 2025 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Mar 6, 2025 Accepting new patients
Center for Orthopedic Research and Education, LLC Current Accepting new patients
Upstate Radiology, PC CurrentSince Aug 29, 2020 Accepting new patients
Ivy Creek of Elmore, LLC Family Medicine CurrentSince Dec 21, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince May 2, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 22, 2022 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Dec 21, 2025 Accepting new patients
River Region Family Medicine, LLC Family Medicine CurrentSince Dec 21, 2025 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince May 10, 2025 Accepting new patients
Ivy Creek Family Care of Lake Martin Family Medicine CurrentSince Jul 28, 2026 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Selma Radiology Associates P C CurrentSince Oct 1, 2021 Accepting new patients
Alabama Imaging PC CurrentSince Oct 1, 2021 Accepting new patients
Sun View Imaging, LLC Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Feb 12, 2023 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Feb 22, 2020 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Feb 28, 2025 Accepting new patients
Peterson Medical Associates Family Medicine CurrentSince Apr 6, 2025 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jun 17, 2020 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Oct 6, 2025 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince May 1, 2025 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 PastSince May 16, 2021 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

  • Direct secure messaging: 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.

View all 46

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.