Individual provider Active NPI

Anthony R Marks, MD

  • Emergency Medicine Physician
  • Clewiston, FL
National Provider Identifier
1649237272
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME148085 Issued in FL
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

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G636850MedicaidCA
ME148085OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000269 CA Practitioner - Emergency Medicine 3072405224 Reassigns benefits to 2 organizations
I20211124001651 FL Practitioner - Emergency Medicine 3072405224 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63685CAMDPharmacist
54903TXMDPharmacotherapy Pharmacist
G63685CAMDEmergency Medicine Physician
ME148085FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Nov 29, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 15, 2013 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 15, 2021 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 15, 2013 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Nov 29, 2017 Accepting new patients
Ies Florida PLLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Shi Keys LLC Emergency Medicine CurrentSince Nov 15, 2021 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.

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

Verify at the official NPI Registry.