Mark S. Frisk, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0068458 Issued in FL

Practice address

350 10TH Ave S
Jacksonville Beach, FL 32250-5136

Phone

(904) 247-2220

Fax

(904) 247-2296

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Diagnostic Radiology

Education

University of Rochester School of Medicine and Dentistry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment Care Compare group NPD
• Beaches MRI of PSL, LLC

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
  • NPI 1639507585
  Medicare reassignment NPD
• Rose Radiology Centers, LLC

  • Radiology Clinic/Center
  • Brandon, FL
  • NPI 1629162904

  Specialist

  Medicare reassignment NPD
• Beaches Open MRI of the Treasure Coast, LLC

  • Diagnostic Radiology Physician
  • Stuart, FL
  • NPI 1053427005
  NPD
• Elite Imaging LLC

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD
• Elite Imaging, LLC

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319
  NPD
• Imaging Center of West Palm Beach LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Delray Beach, FL
  • NPI 1225402464
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Boynton Beach, FL
  • NPI 1396974705
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • West Palm Beach, FL
  • NPI 1538152939
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Lake Worth, FL
  • NPI 1639308042
  NPD
• LCM Imaging Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1033145669
  NPD
• Diagnostic Imaging Services Inc

  • Diagnostic Radiology Physician
  • Stuart, FL
  • NPI 1255301354
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831222165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 10TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505136",
            "telephone_number": "904-247-2220",
            "fax_number": "904-247-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 10TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505136",
            "telephone_number": "904-247-2220",
            "fax_number": "904-247-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISK",
        "first_name": "MARK",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP #",
            "identifier": "2240835",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROPU #",
            "identifier": "V2353",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Formoso Pain Specialists, PA
• Shannon Frazier, ARNP
• Jacqueline Marie Frey, LCSW
• Paul Anthony Friedlin, OT,CHT
• Laura Friedman, OTR/L
• Sharon Lee Frith, P.A.-C.
• Blake Frutchey, PHARM.D.
• FSL Jax Beach Tenant LLC.
• Karen Micheel Gabriel, MED, LMHC
• Thomas G Gaddis, MD

• Specialist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.