MARK DAVID ZUBRES D.O. NPI 1376521740

NPI Information

NPI: 1376521740
Provider Name: MARK DAVID ZUBRES, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1 ALTURA VISTA
SANTA FE, NM
ZIP 87507
Phone: (417) 766-7522
Get Directions

Mark David Zubres, D.O. is a diagnostic radiology radiology in Santa Fe, NM with 47 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mark David Zubres, D.O. NPI is 1376521740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year:1977

The provider's business location address is:

1 ALTURA VISTA
SANTA FE, NM
ZIP 87507-771
Phone: (417) 766-7522

The NPI 1376521740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2006 and was last updated on 5/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	R8N04	MISSOURI	No
2	2085R0202X	Radiology	Diagnostic Radiology	OS004127L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1191801	OTHER	MISSOURI	BCBS OF MO
2	242912434	MEDICAID	MISSOURI
3	P01594306	MEDICARE PIN	PENNSYLVANIA
4	P00254931	OTHER	MISSOURI	RAILROAD MEDICARE
5	000092457	OTHER		PINNACLE MEDICARE SERVICE
6	159670003	MEDICAID	ARKANSAS
7	E15698	MEDICARE UPIN
8	211107	OTHER		HEALTHLINK INC.
9	P00614577	OTHER	MISSOURI	RAILROAD MEDICARE
10	436284FLT	MEDICARE PIN	PENNSYLVANIA
11	1198060	OTHER		FIRST HEALTH
12	103053593	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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