Beaches Open MRI, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

0700012919 Issued in FL

Legal business name

BEACHES OPEN MRI, LLC

Practice address

350 10TH Ave S
Jacksonville Beach, FL 32250-5136

Phone

(904) 247-2220

Fax

(904) 247-2296

NPI assigned

Jan 17, 2007

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark S. Frisk, M.D.NPI 1831222165

Title

Radiologist

Phone

(904) 247-2220

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark S. Frisk, M.D.

  • Specialist
  • Jacksonville Beach, FL
  • NPI 1831222165
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1063564672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 10TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505136",
            "telephone_number": "904-247-2220",
            "fax_number": "904-247-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 10TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505136",
            "telephone_number": "904-247-2220",
            "fax_number": "904-247-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "FRISK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "904-247-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "0700012919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaches Facial and Nasal Surgery Center
• Beaches Family Medicine PA
• Beaches Healthcare, P.a.
• Beaches Nature Therapy LLC
• Beaches Neurology Clinic
• Beaches Oral Maxillofacial Surgery, PLLC
• Beaches Recovery Services LLC
• Beaches Therapy LLC (Audrey Roach-Slivinski, LCSW)
• Beachside Primary Care LLC
• Beaded Star Recovery, LLC

• Radiology Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.