WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD NPI 1023291903

Radiology (Diagnostic Radiology) in Jasper, AL

NPI 1023291903 Organization Radiology Diagnostic Radiology

About WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD

Walker Baptist Medical Center-mark Roberts Md is a provider established in Jasper, Alabama specializing in radiology (diagnostic radiology) . The NPI number of Walker Baptist Medical Center-mark Roberts Md is 1023291903 and was assigned on December 2007. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Walker Baptist Medical Center-mark Roberts Md operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is John M. Blackburn (Interim President & Ceo)

NPI

1023291903

Provider NameWALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD
Provider Location Address3400 HIGHWAY 78 EAST; MEDICAL ARTS TOWER SUITE 218 JASPER, AL 35501
Provider Mailing Address200 BEACON PKWY W SUITE 330 BIRMINGHAM, AL 35209
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date12-13-2007
Last Update Date07-11-2008


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD
3400 HIGHWAY 78 EAST; MEDICAL ARTS TOWER
SUITE 218
JASPER, AL
ZIP 35501
Phone: (205) 387-4472
Fax: (205) 387-4753

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Mailing Address

WALKER BAPTIST MEDICAL CENTER-MARK ROBERTS MD
200 BEACON PKWY W
SUITE 330
BIRMINGHAM, AL
ZIP 35209
Phone:



Authorized Official

Authorized Official Name JOHN M. BLACKBURN
Authorized Official TitleINTERIM PRESIDENT & CEO
Authorized Official Phone(205) 715-5901

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.