Active NPI
Anthony R Marks, MD
- Emergency Medicine Physician
- Clewiston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME148085
- Practice address
- 524 W Sagamore Ave
Clewiston, FL 33440-3514 - Phone
- (863) 902-3000
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G63685 | CA | |
| Emergency Medicine Physician | 207P00000X | ME148085 | FL | Primary |
Addresses
Primary practice location
524 W Sagamore Ave
Clewiston, FL 33440-3514
Mailing address
16570 Calistoga Dr
Bonita Springs, FL 34135-9113
Phone (510) 350-2600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G636850 | Medicaid | CA | |
| ME148085 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63685 | CA | MD | Pharmacist |
| 54903 | TX | MD | Pharmacotherapy Pharmacist |
| G63685 | CA | MD | Emergency Medicine Physician |
| ME148085 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Small Hospital Innovations LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Can Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ies Florida PLLC | Emergency Medicine | Current | Accepting new patients |
| Shi Keys LLC | Emergency Medicine | Current | Accepting new patients |
| Premier Emergency Physicians of Idaho Medical Group | Emergency Medicine | Past | Accepting new patients |
| Hemet Emergency Med Group @ Menifee Hospital | Emergency Medicine | Past | Accepting new patients |
| Treasure Valley Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Hemet Emergency Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
751 Medical Center Ct
#1182
Chula Vista, CA 91911
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
Organizations & group practices 12
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1649237272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16570 CALISTOGA DR",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341359113",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 W SAGAMORE AVE",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403514",
"telephone_number": "863-902-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "ANTHONY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G63685",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME148085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G636850",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME148085",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clewiston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.