MARK J. POPOVICH M.D. – NPI #1245320704
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
MARK POPOVICH is a radiologist located in SANTA ROSA, CA. NPPES has assigned the NPI number 1245320704 to MARK POPOVICH on October 13, 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 7 years ago on Aug 26, 2019. 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 POPOVICH below.
NPI Profile for
MARK J. POPOVICH
(more than 19 years ago)
SANTA ROSA, CA 95403-1672 Phone: (707) 521-4480 Fax: (707) 521-4460
1 Other location(s):
Santa Rosa, CA 95405-7815
Phone: (707) 523-2666
Fax: (707) 523-3399
LOS ALTOS, CA 94022-1408 Phone: (707) 521-4480 Fax: (707) 521-4460
Identifiers for MARK POPOVICH
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AMERICAN BOARD OF RADIOLOGY | CA | 473423 |
| OTHER | STATE MEDICAL LICENSE | CA | G57995 |
| MEDICAID | CA | 00G579950 |
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) |
CA | G57995 |
| 2085U0001X - Radiology / Diagnostic Ultrasound |
CA | G57995 |
| 2085N0904X - Radiology / Nuclear Radiology |
CA | G57995 |
| 2085B0100X - Radiology / Body Imaging |
CA | G57995 |
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.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
MARK POPOVICH is affiliated with the following medical group(s):
- HOSPITAL
- SUTTER SANTA ROSA REGIONAL HOSPITAL30 MARK WEST SPRINGS ROAD
SANTA ROSA, CA 95403
- SUTTER SANTA ROSA REGIONAL HOSPITAL30 MARK WEST SPRINGS ROAD
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