Individual provider Active NPI

Mark Michnik, MD

  • Obstetrics & Gynecology Physician
  • N Miami Beach, FL
National Provider Identifier
1841397650
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME117870 Issued in FL
Practice address
1 NE 167TH St
N Miami Beach, FL 33162-3402
Phone
(786) 300-7330
Fax
(772) 264-8106
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 236807 NY
Obstetrics & Gynecology Physician 207V00000X ME117870 FL Primary

Addresses

Primary practice location

1 NE 167TH St
N Miami Beach, FL 33162-3402

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 776-4050

Other identifiers 2

IdentifierTypeStateIssuer
102817900MedicaidFL
02694448MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060130000100 NY Practitioner - Obstetrics/Gynecology 4880608868 Reassigns benefits to 3 organizations
I20140117000771 FL Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 4880608868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117870FLMDObstetrics & Gynecology Physician
236807NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Dec 8, 2025 Accepting new patients
Gun Hill Medical Pavilion for Women, PC Obstetrics & Gynecology CurrentSince Sep 1, 2012 Accepting new patients
Argomed Group LLC CurrentSince Sep 23, 2024 Accepting new patients
Arnot Medical Services PLLC Obstetrics & Gynecology CurrentSince Dec 8, 2025 Accepting new patients
Canton-Potsdam Hospital CurrentSince Dec 8, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Arnot Ogden Medical Center CurrentSince Dec 8, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Soma Medical Center PA #9 Obstetrics & Gynecology CurrentSince May 7, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Dec 8, 2025 Accepting new patients
Soma Medical Center, PA PastSince May 7, 2024 Accepting new patients
Jal 28 LLC Past Accepting new patients
Harlem Medical Associates PC Past Accepting new patients
Womens OB GYN Care at the Pavilion PC Obstetrics & Gynecology PastSince Sep 1, 2012 Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

1307 S Tamiami Trl
Osprey, FL 34229
Phone (941) 300-9111

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

3325 Forest Hill Blvd
Ste B
West Palm Beach, FL 33406
Phone (561) 227-2772

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Fitch St
Ste 102
Elmira, NY 14905
Phone (607) 734-6544

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

Networks

  • Healthfirst Medicare Network H1722
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H3359
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JABFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1841397650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "786-300-7330",
            "fax_number": "772-264-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12271 US Highway 301 N",
            "address_purpose": "LOCATION",
            "city": "Parrish",
            "state": "FL",
            "postal_code": "34219",
            "country_code": "US",
            "telephone_number": "941-776-4050",
            "fax_number": "941-776-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHNIK",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "236807",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME117870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102817900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694448",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.