Active NPI
Mitchell Marks Medicial Decision Associates P a
- Internal Medicine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1265789705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS5567
- Legal business name
- MITCHELL MARKS MEDICIAL DECISION ASSOCIATES P A
- Practice address
- 3345 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4324 - Phone
- (561) 622-2022
- Fax
- (561) 622-6775
- NPI assigned
- Aug 14, 2012
- Last updated
- Oct 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mitchell L Marks, D.O.
- Title
- Physician/Owner
- Phone
- (561) 622-2022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS5567 | FL | Primary |
Addresses
Primary practice location
3345 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4324
Mailing address
3345 Burns Rd
Suite 101
Palm Beach Gardens, FL 33410-4324
Phone (561) 622-2022
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Palm Beach Gardens, FL
- NPI 1972599199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350604800000",
"number": "1265789705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 BURNS RD",
"address_2": "SUITE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104324",
"telephone_number": "561-622-2022",
"fax_number": "561-622-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 BURNS RD",
"address_2": "SUITE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104324",
"telephone_number": "561-622-2022",
"fax_number": "561-622-6775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL MARKS MEDICIAL DECISION ASSOCIATES P A",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-14",
"last_updated": "2012-10-19",
"status": "A",
"authorized_official_last_name": "MARKS",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "561-622-2022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS5567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.