Mark Fritz MD LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36099618 Issued in IL

Legal business name

MARK FRITZ MD LTD

Practice address

212 N Larkin Ave
Joliet, IL 60435-6604

Phone

(815) 741-0666

Fax

(815) 741-0649

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Mark J Fritz, MDNPI 1669509550

Title

Owner

Phone

(815) 741-0666

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Mark J Fritz, M.D.

  • Ophthalmology Physician
  • Joliet, IL
  • NPI 1669509550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1386634525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356604",
            "telephone_number": "815-741-0666",
            "fax_number": "815-741-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356604",
            "telephone_number": "815-741-0666",
            "fax_number": "815-741-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK FRITZ MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-741-0666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "36099618",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "37999020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099618",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E. Maragos, MSN,APRN,FNP
• Stavros G Maragos, M.D.
• Gabriella Whitney Marcinowski
• Rachelle N. Marcotte Fisher, DT
• Steven E. Marek, DDS
• Mark K Jones DC Fiama LTD
• Mark Roy & Associates Inc.
• Constance A Marks, M.D.
• Daniel Marks, M.D.
• Samantha Marsh

• Ophthalmology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.