MARK SOUTHARD MD – NPI #1003868811
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

MARK SOUTHARD is a radiologist located in EAU CLAIRE, WI. NPPES has assigned the NPI number 1003868811 to MARK SOUTHARD on May 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 4 years ago on Jan 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK SOUTHARD below.

NPI Profile for
MARK SOUTHARD

NPI Number
1003868811
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK SOUTHARD
Credentials
MD
Primary location
900 W CLAIRMONT AVE
EAU CLAIRE, WI 54701
Phone: (715) 839-4151 Fax:
Mailing address
2715 WEST FRANK ST
EAU CLAIRE, WI 54703
Phone: (715) 834-5511 Fax: (715) 834-5870
Sole Proprietor
No
Updated
Certification Date
Jan 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 WI 45008
2085U0001X
- Radiology / Diagnostic Ultrasound		 WI 45008
2085B0100X
- Radiology / Body Imaging		 WI 45008

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT ADDRESS
Content Type
OTHER
Affiliation
Y
Endpoint Location
835 S VAN BUREN ST,
GREEN BAY, WI 77025-1669

Additional Information

Education
MEDICAL COLLEGE OF WISCONSIN - Graduated 2001
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK SOUTHARD is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION OUR LADY OF VICTORY HOSPITAL
      1120 PINE ST
      STANLEY, WI 54768
    • CUMBERLAND MEMORIAL HOSPITAL
      1110 7TH AVENUE
      CUMBERLAND, WI 54829
    • SACRED HEART HOSPITAL
      900 W CLAIREMONT AVE
      EAU CLAIRE, WI 54701
    • ST JOSEPH'S HOSPITAL
      2661 COUNTY HWY I
      CHIPPEWA FALLS, WI 54729
    • WINONA HEALTH SERVICES
      855 MANKATO AVENUE
      WINONA, MN 55987

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.