RUFUS J. MARK (NPI# 1992786628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992786628 |
| Entity Type | Individual |
| Full Name | RUFUS J. MARK |
| Other Name | RUFUS J. MARK |
| Practice Address |
4611 E. Shea Blvd Ste 120 Phoenix AZ 85028-4255 |
| Mailing Address |
104 Nw 31st St Lawton OK 73505-6100 |
| Practice Telephone | 6024413845 |
| Practice Fax Number | 6064649769 |
| Mailing Telephone | 5805362121 |
| Mailing Fax Number | 5802505183 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
46094 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | RAILROAD MEDICARE | P00607340 | 01 |
| AZ | 688655 | 05 | |
| TX | RAILROAD MEDICARE | 920006823 | 01 |
| Street Address |
4611 E. SHEA BLVD STE 120 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770736324 | Radiation Oncologists of Central Arizona | Radiology | 4611 E. Shea Blvd, Ste 120, Phoenix, AZ 85028-4245 | 2008-10-28 |
| 1366418675 | John J Kresl | Radiology | 4611 E. Shea Blvd, Ste. 120, Phoenix, AZ 85028-4254 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063608735 | Catherine Anderson North | Radiology | 1410 Phoenix Rd W, Phoenix, MD 21131-1024 | 2007-09-17 |
| 1932319878 | Devin Joshua Sloan | Radiology | 20601 N 19th Ave Ste 115, Phoenix, AZ 85027-2646 | 2007-05-22 |
| 1851472286 | Subhakar Mutyala | Radiology | 2222 E Highland Ave Ste 130, Phoenix, AZ 85016 | 2006-10-19 |
| 1720042146 | Christopher A Biggs | Radiology | 1916 W Bethany Home Rd Ste 100, Phoenix, AZ 85015-2458 | 2006-04-13 |
| 1750345401 | Coral A Quiet | Radiology | 19646 N 27th Ave Ste 108, Phoenix, AZ 85027-4025 | 2006-04-12 |
| 1275509846 | Thomas P Canty | Radiology | 20601 N 19th Ave, Suite 115, Phoenix, AZ 85027-3587 | 2006-02-24 |
| 1114992252 | David C Beyer | Radiology | 3104 E Camelback Rd Ste 931, Phoenix, AZ 85016-4502 | 2006-02-22 |
| 1346235405 | John Dover | Radiology | 3815 E Bell Rd Suite 2200, Phoenix, AZ 85032-2139 | 2005-09-14 |
| 1396155461 | Justin Famoso | Radiology | 19646 N 27th Ave Ste 108, Phoenix, AZ 85027 | 2014-04-29 |
| 1326487307 | Arti Sangave | Radiology | 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 | 2013-06-22 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.