Anthony D. Marks, MD
Individual provider Active NPI Interventional Cardiology Physician · South Weymouth, MA
NPI 1477530616 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1477530616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 73802 (MA)
- Practice address
- 541 Main St
Suite 400
South Weymouth, MA 02190-1868 - Phone
- (781) 952-1200
- Fax
- (781) 340-1610
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Yale University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mass General Brigham Medical Group Suburban Massachusetts Inc
Harbor Medical Associates Inc
Practice addresses (Care Compare)
15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (781) 826-8065
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
541 Main St
Suite 400
South Weymouth, MA 02190-1889
Phone (781) 952-1200
Hospital & facility affiliations
- Croi Health
- South Shore Hospital
- Brigham and Women'S Hospital
- Dana-Farber Cancer Institute
- Massachusetts General Hospital
- Beth Israel Deaconess Hospital - Milton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050503000084 | MA | Practitioner - Cardiovascular Disease (Cardiology) | 8628017233 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73802 | MA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Current |
Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Harbor Medical Associates, Inc. | Internal Medicine | Current |
Accepting new patients |
| Pratt Medical Group, Inc | Past | Accepting new patients |
Locations
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
541 Main St
Ste 400
Weymouth, MA 02190
Phone (781) 340-0100
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- marks.anthony.bwh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73802 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 73802 | MA | |
| Interventional Cardiology Physician | 207RI0011X | 73802 | MA | Yes |
Addresses
Primary practice location
541 Main St
Suite 400
South Weymouth, MA 02190-1868
Mailing address
541 Main St
Suite 400
South Weymouth, MA 02190-1868
Phone (781) 952-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002919 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 3076687 | Medicaid | MA | |
| 37866 | Other | MA | FALLON COMM HEALTH PLAN |
| 60247 | Other | MA | HARVARD PILGRIM |
| 073802 | Other | MA | TUFTS HEALTH PLAN |
| J10988 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in South Weymouth, MA
- Julia Mancuso
- Jushin Teg Singh Mann
- Marc P. Mansour
- Elyse Claire Manzo
- Dana Marie Marchant
- Shawna Marie Maroney
- Fernando Jorge Martinez
- Khady Mascarenhas
- Mass General Brigham Medical Group Suburban Massachusetts Inc
- Julianna Mastropierro
All providers in South Weymouth, MA · Interventional Cardiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.