Individual provider Active NPI

Mark Kwen Fromke, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1114982220
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9900499 Issued in NC
Practice address
700 E Morehead St
Charlotte, NC 28202-2788
Phone
(704) 334-7800
Fax
(704) 414-7512
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 37866 SC
Diagnostic Radiology Physician 2085R0202X 9900499 NC Primary

Addresses

Primary practice location

700 E Morehead St
Charlotte, NC 28202-2788

Mailing address

700 E Morehead St
Charlotte, NC 28202-2788
Phone (704) 334-7800

Other identifiers 1

IdentifierTypeStateIssuer
891197TMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060727000453 NC Practitioner - Diagnostic Radiology 4880607415 Reassigns benefits to 2 organizations
I20150626000606 SC Practitioner - Diagnostic Radiology 4880607415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945

1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535

101 E W T Harris Blvd
Suite 2122a
Charlotte, NC 28262-3590
Phone (704) 362-1945

1010 E Dixon Blvd
Suite B
Shelby, NC 28152-6838
Phone (980) 487-2900

1025 Morehead Medical Dr
Suite 100
Charlotte, NC 28204-2964
Phone (704) 326-1945

1025 Morehead Medical Dr
Suite 150
Charlotte, NC 28204-2973
Phone (704) 334-7800

1045 Negateway NE CT
Concord, NC 28025-2440
Phone (704) 362-1945

1045 Negateway Nect
Cocnord, NC 28025-2440
Phone (704) 334-7800

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945

10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391

1065 Negateway Nect
Concord, NC 28025-2440
Phone (704) 334-7800

1090 NW Gateway CT
Suite 202
Concord, NC 28025-2414
Phone (704) 403-9050

1100 Healing Way
Matthews, NC 28104-4951
Phone (704) 246-1566

12335 N Community House Rd
Suite B
Charlotte, NC 28277-1825
Phone (704) 684-8204

12905 Rosedale Hill Ave
Huntersville, NC 28078-3341
Phone (704) 801-1000

132 Gateway Blvd
Suite a
Mooresville, NC 28117-5540
Phone (704) 235-6446

13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 334-7800

1401 Matthews Township Pkwy
Matthews, NC 28105-5403

15419 Hodges Cir
Suite 201B
Huntersville, NC 28078-6557
Phone (704) 895-4970

1550 Faulk St
Suite 1200
Monroe, NC 28112-5087
Phone (704) 362-1945

16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950

16455 Statesville Rd
Suite 110B
Huntersville, NC 28078-7125
Phone (704) 367-2232

2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800

332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500

3715 Union Rd
Gastonia, NC 28056-8044
Phone (704) 854-8202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37866SCMDPharmacist
9900499NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Medical Services LLC Diagnostic Radiology CurrentSince Dec 20, 2013 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 3, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Aug 3, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Charlotte Radiology PA Diagnostic Radiology PastSince Apr 22, 2015 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

2293 Sugar Hill Rd
#G
Marion, NC 28752

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1114982220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022788",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022788",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMKE",
        "first_name": "MARK",
        "middle_name": "KWEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "37866",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9900499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891197T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.