Individual provider Active NPI

Burton Marks, DO

  • Diagnostic Radiology Physician
  • King of Prussia, PA
National Provider Identifier
1750374161
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS001940L Issued in PA
Practice address
563 Prince Frederick St
King of Prussia, PA 19406-1846
Phone
(610) 331-2326
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS001940L PA Primary

Addresses

Primary practice location

563 Prince Frederick St
King of Prussia, PA 19406-1846

Mailing address

563 Prince Frederick St
King of Prussia, PA 19406-1846
Phone (610) 331-2326

Other identifiers 1

IdentifierTypeStateIssuer
0007534140018MedicaidPA

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS001940LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Park Radiology Asst PC Diagnostic Radiology Past Accepting new patients
Arthur Avenue Radiology PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Scranton, LLC Diagnostic Radiology PastSince Dec 1, 2004 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology PastSince Jan 21, 2022 Accepting new patients
FRG Central PA PC Diagnostic Radiology Past Accepting new patients
FRG Acmh PC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 6

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1750374161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 PRINCE FREDERICK ST",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061846",
            "telephone_number": "610-331-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 PRINCE FREDERICK ST",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061846",
            "telephone_number": "610-331-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "BURTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS001940L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007534140018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.