Organization Active NPI

Mark Pomper, MD, PA

  • Specialist
  • Miami, FL
National Provider Identifier
1285668996
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MARK POMPER, MD, PA
Practice address
10860 SW 88TH St
Miami, FL 33176-2680
Phone
(954) 730-2333
Fax
(954) 730-2337
NPI assigned
Jul 10, 2006
Organization subpart
Yes
Parent organization
MARK POMPER, MD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Michele Gulkis
Title
Credentialing Specialist
Phone
(954) 730-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10860 SW 88TH St
Miami, FL 33176-2680

Mailing address

PO Box 2277
Miami Beach, FL 33140
Phone (954) 730-2333

Other identifiers 1

IdentifierTypeStateIssuer
252860600MedicaidFL

Other names 1

  • Horizon Medical Services Doing business as

National Provider Directory

National Provider Directory
Part of
Mark E Pomper MD PA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1285668996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2277",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "954-730-2333",
            "fax_number": "954-337-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762680",
            "telephone_number": "954-730-2333",
            "fax_number": "954-730-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK POMPER, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK POMPER, MD, PA",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "GULKIS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "954-730-2333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252860600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.