Individual provider Active NPI

Mark Andrew Fritschle, PA

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1104837673
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103726 Issued in FL
Practice address
8383 S Tamiami TRL Unit 115
Sarasota, FL 34238-2901
Phone
(941) 497-4069
Fax
(941) 496-9145
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103726 FL Primary

Addresses

Primary practice location

8383 S Tamiami TRL Unit 115
Sarasota, FL 34238-2901

Mailing address

8383 S Tamiami TRL Unit 115
Sarasota, FL 34238-2901
Phone (941) 497-4069

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.fritschle.1@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061206000282 FL Practitioner - Physician Assistant 2163421843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Spine and Pain Specialists PLLCGroup PAC ID 2961840608, 3 clinicians

Practice addresses (Care Compare)

3920 Bee Ridge Rd
Unit a
Sarasota, FL 34233-1207
Phone (941) 867-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103726FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Medical Partners, PLLC CurrentSince Dec 5, 2017 Accepting new patients
Lopez Pain Management LLC CurrentSince Apr 4, 2023 Accepting new patients
Lopez Pain Management LLC CurrentSince Apr 4, 2023 Accepting new patients
Terra Ceia Emergency Physicians LLC Past Accepting new patients

Locations

4863 Palm Coast Pkwy NW
Unit 2
Palm Coast, FL 32137
Phone (386) 222-7746

3920 Bee Ridge Rd
Ste A-A
Sarasota, FL 34233
Phone (941) 867-7463

333 Tamiami Trl S
Ste 169171
Venice, FL 34285
Phone (941) 375-3006

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mark.fritschle.1@4692.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJBDD/Endpoint/EDJBDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1104837673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 S TAMIAMI TRL UNIT 115",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382901",
            "telephone_number": "941-497-4069",
            "fax_number": "941-496-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 S TAMIAMI TRL UNIT 115",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382901",
            "telephone_number": "941-497-4069",
            "fax_number": "941-496-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITSCHLE",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.fritschle.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "8383 S Tamiami Trl Unit 115",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342382901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.