Individual provider Active NPI

Mark Schor, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1841369683
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0051642 Issued in FL
Practice address
3795 W Boynton Beach Blvd
Boynton Beach, FL 33436
Phone
(561) 736-2000
NPI assigned
Nov 7, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0051642 FL
Internal Medicine Physician 207R00000X ME0051642 FL Primary

Addresses

Primary practice location

3795 W Boynton Beach Blvd
Boynton Beach, FL 33436

Mailing address

PO Box 1602
Loxahatchee, FL 33470-1602
Phone (561) 753-6168

Other identifiers 2

IdentifierTypeStateIssuer
048061400MedicaidFL
0051642OtherFLLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mschor@conviva.eclnicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080616000509 FL Practitioner - Internal Medicine 7911078118 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0051642FLMDInternal Medicine Physician
ME0051642FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Glades Primary Care LLC Internal Medicine Past Accepting new patients
US Hospitalists LLC Internal Medicine Past Accepting new patients
Palm Beach Primary Care Associates Inc Past Accepting new patients

Locations

3795 W Boynton Beach Blvd
Ste A
Boynton Beach, FL 33436
Phone (561) 369-4255

7593 W Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 354-4840

5350 Atlantic Ave
Ste 100
Delray Beach, FL 33484
Phone (561) 496-5677

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841369683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1602",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334701602",
            "telephone_number": "561-753-6168",
            "fax_number": "561-790-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-736-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOR",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0051642",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0051642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048061400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0051642",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mschor@conviva.eclnicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3795 W Boynton Beach Blvd",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.