Provider Demographics
NPI:1306894035
Name:MARKLAND, JASON E (DO)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:E
Last Name:MARKLAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2016 STONEGATE TRL
Mailing Address - Street 2:SUITE 112
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2260
Mailing Address - Country:US
Mailing Address - Phone:205-545-9530
Mailing Address - Fax:205-545-9529
Practice Address - Street 1:50 MEDICAL PARK DR E
Practice Address - Street 2:ST. VINCENT'S EAST
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3401
Practice Address - Country:US
Practice Address - Phone:205-545-9530
Practice Address - Fax:205-545-9529
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALDO-908207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051532947Medicaid
AL051532948OtherBCBS PROVIDER NUMBER
AL914584200OtherFLORIDA MEDICAID
ALC141OtherBCBS
ALCH5239OtherRR MEDICARE
AL009913306Medicaid
AL351890800OtherDEPT OF LABOR
AL529905830Medicaid
AL529910000Medicaid
AL051532947OtherBCBS
AL51545878OtherBCBS
ALCH5239OtherRR MEDICARE
AL51545878OtherBCBS
AL051532947Medicaid
AL051532948OtherBCBS PROVIDER NUMBER
ALI756Medicare PIN