Active NPI
Mark Michnik, MD
- Obstetrics & Gynecology Physician
- N Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME117870
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102817900 | Medicaid | FL | |
| 02694448 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME117870 | FL | MD | Obstetrics & Gynecology Physician |
| 236807 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Gun Hill Medical Pavilion for Women, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Argomed Group LLC | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Soma Medical Center PA #9 | Obstetrics & Gynecology | Current | Accepting new patients |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Soma Medical Center, PA | Past | 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 | Past | 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
- https://fhir4.healow.com/fhir/r4/EFIECD
- https://fhir4.healow.com/fhir/r4/JABFCD
- 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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Obstetrics & Gynecology Physician
- Palm Springs, FL
- NPI 1982379442
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- Obstetrics & Gynecology Physician
- Bronx, NY
- NPI 1831482546
-
dba Rafael O. Nunez
- Internal Medicine Physician
- Palm Springs, FL
- NPI 1467499038
-
- General Practice Physician
- New York, NY
- NPI 1487957692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.