Active NPI
Mark Joseph Sulek, D.O.
- Diagnostic Radiology Physician
- Mason, OH
National Provider Identifier
1104809847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34005442S
- Practice address
- 3922 Marquis LN
Mason, OH 45040-4110 - Phone
- (513) 225-4984
- NPI assigned
- Nov 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34005442S | OH | Primary |
Addresses
Primary practice location
3922 Marquis LN
Mason, OH 45040-4110
Mailing address
3922 Marquis LN
Mason, OH 45040-4110
Phone (513) 225-4984
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01419361 | Other | RR MEDICARE | |
| 2091892 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005442S | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Radiology, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging Physicians Inc | Diagnostic Radiology | Past | Accepting new patients |
| Anderson Radiology Associates LLP | Diagnostic Radiology | Past | Accepting new patients |
| Usd Dayton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Midstates Radiology Consultants | Diagnostic Radiology | Past | Accepting new patients |
| Scientific Medical Imaging, Inc. | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1730290461
-
- Diagnostic Radiology Physician
- Dayton, OH
- NPI 1508847922
-
- Diagnostic Radiology Physician
- Dayton, OH
- NPI 1326172115
-
- Specialist
- Youngstown, OH
- NPI 1912900341
-
- Diagnostic Radiology Physician
- Dayton, OH
- NPI 1861685802
-
- Diagnostic Radiology Physician
- Grand Junction, CO
- NPI 1093823742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1104809847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3922 MARQUIS LN",
"city": "MASON",
"state": "OH",
"postal_code": "450404110",
"telephone_number": "513-225-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3922 MARQUIS LN",
"city": "MASON",
"state": "OH",
"postal_code": "450404110",
"telephone_number": "513-225-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULEK",
"first_name": "MARK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "34005442S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01419361",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2091892",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.