Active NPI
Burton Marks, DO
- Diagnostic Radiology Physician
- King of Prussia, PA
National Provider Identifier
1750374161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS001940L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007534140018 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS001940L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| Foundation Radiology Group PC | Diagnostic Radiology | Past | 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.
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1093752479
-
- Diagnostic Radiology Physician
- Wexford, PA
- NPI 1740482686
-
- Diagnostic Radiology Physician
- Kittanning, PA
- NPI 1366692469
-
- Diagnostic Radiology Physician
- Coudersport, PA
- NPI 1487805693
-
- Diagnostic Radiology Physician
- Bronx, NY
- NPI 1366463465
-
- Diagnostic Radiology Physician
- Bronx, NY
- NPI 1053332163
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.