Active NPI
Mark Richard Zunkiewicz, MD
- Orthopaedic Surgery Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME134460
- Practice address
- 305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169 - Phone
- (386) 231-4450
- Fax
- (386) 231-4459
- NPI assigned
- Oct 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35095661 | OH | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ME134460 | FL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 35095661 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | ME134460 | FL | Primary |
Addresses
Primary practice location
305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169
Mailing address
305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169
Phone (386) 231-4450
Other practice location 1
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (419) 348-9093
Other practice location 2
31 S Stanfield Rd
202
Troy, OH 45373-2374
Phone (937) 335-3561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071143 | Medicaid | OH | |
| 35095661 | Other | OH | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Toledo College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
12 Newport Dr
Forest Hill, MD 21050-1758
1200 Lexington Green LN
Sanford, FL 32771-1013
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
Hospital & facility affiliations
- Trilogy Home Healthcare
- Adventhealth Home Health
- Concierge Home Care
- Centerwell Home Health
- Adventhealth Daytona Beach
- AdventHealth Palm Coast
- Adventhealth New Smyrna Beach
- Adventhealth Palm Coast Parkway
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 37 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 26 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uvpc Specialists, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Uvpc Specialists Inc. | Current | Accepting new patients | |
| Mississippi Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | Past | Accepting new patients |
Locations
305 Memorial Medical Pkwy
Ste 301
Daytona Beach, FL 32117
Phone (386) 231-4450
305 Memorial Medical Pkwy
Ste 206
Daytona Beach, FL 32117
Phone (386) 231-3540
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
31 S Stanfield Rd
Ste 202
Troy, OH 45373
Phone (800) 492-8040
3130 N County Road 25A
Uppr Vly
Troy, OH 45373
Phone (937) 335-3561
3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061
3130 N County Road 25A
Ste 116
Troy, OH 45373
Phone (937) 335-3561
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mzunkiewicz58340@adventhealth.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Surgery Physician
- Troy, OH
- NPI 1831115492
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
dba Upper Valley Orthopedics
- Orthopaedic Surgery Physician
- Troy, OH
- NPI 1699911446
-
- Orthopaedic Surgery Physician
- Jackson, MS
- NPI 1568415560
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Daytona Beach, FL
- NPI 1114955713
-
dba Adventhealth Home Care East Florida
- Home Health Agency
- Ormond Beach, FL
- NPI 1134161318
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
dba Concierge Home Care
- Home Health Agency
- Port Orange, FL
- NPI 1801494505
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba AdventHealth New Smyrna Beach
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104077064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 MEMORIAL MEDICAL PKWY STE 206",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175169",
"telephone_number": "386-231-4450",
"fax_number": "386-231-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MEMORIAL MEDICAL PKWY STE 206",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175169",
"telephone_number": "386-231-4450",
"fax_number": "386-231-4459"
}
],
"practiceLocations": [
{
"address_1": "301 Memorial Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321175167",
"country_code": "US",
"telephone_number": "419-348-9093",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 S Stanfield Rd",
"address_2": "202",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453732374",
"country_code": "US",
"telephone_number": "937-335-3561",
"fax_number": "937-339-1213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUNKIEWICZ",
"first_name": "MARK",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-08",
"last_updated": "2023-03-07",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35095661",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "ME134460",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "35095661",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME134460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3071143",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "35095661",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.