Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Southard, MD

Individual provider Body Imaging Physician · NPI 1003868811

Dr. Mark Southard, MD is a Diagnostic Radiology in Eau Claire, Wisconsin. Qualified in 2001, 25 years ago. Practices with Imaging Associates of Michigan PLLC, a 145-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
25
Licensed in
WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

900 W Clairmont Ave
Eau Claire, WI 54701
Phone: (715) 839-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 45008 (WI)
Body Imaging Physician Taxonomy 2085B0100X · Licence 45008 (WI)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 45008 (WI)

Record details

NPI number1003868811
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022
Mailing address2715 West Frank St, Eau Claire, WI 54703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Imaging Associates Of Michigan Pllc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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