Active NPI
Michael Marks, M.D.
- Orthopaedic Surgery Physician
- Norwalk, CT
National Provider Identifier
1720087430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 028933
- Practice address
- 24 Stevens St
Norwalk, CT 06850-3852 - Phone
- (203) 852-2000
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 028933 | CT | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 028933 | CT | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 028933 | CT | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 028933 | CT |
Addresses
Primary practice location
24 Stevens St
Norwalk, CT 06850-3852
Mailing address
24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 852-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028933 | CT | MD | Sports Medicine (Orthopaedic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1720087430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 STEVENS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503852",
"telephone_number": "203-852-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 STEVENS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503852",
"telephone_number": "203-852-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CT",
"license": "028933",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CT",
"license": "028933",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CT",
"license": "028933",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CT",
"license": "028933",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.