Anthony R. Mork, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

FLME0076160 Issued in FL

Practice address

2102 Business Center Dr Ste 127
Irvine, CA 92612-1001

Phone

(949) 640-6675

Fax

(949) 717-6753

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2016 through Jul 1, 2028

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.

• Microspine Surgery Center Defuniak Springs LLC

  • Ambulatory Surgical Clinic/Center
  • Defuniak Springs, FL
  • NPI 1306891718
  NPD
• Gcoc Physical Therapy

  • Physical Therapy Clinic/Center
  • Hudson, FL
  • NPI 1861546061
  NPD (past)
• Gulf Coast Orthopedic Center

  • Orthopaedic Surgery of the Spine Physician
  • Hudson, FL
  • NPI 1487765566
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1851338073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR STE 127",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-640-6675",
            "fax_number": "949-717-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR STE 127",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-640-6675",
            "fax_number": "949-717-6753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Coy Burgess Loop",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324353716",
            "country_code": "US",
            "telephone_number": "850-892-6001",
            "fax_number": "850-892-4212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORK",
        "first_name": "ANTHONY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "FLME0076160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON PAR NUMBER",
            "identifier": "43874",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Moricca, RN, NP
• Ruth Tzipora Morin, PHD
• Brandi H Morinoue, PA-C
• Naoko Morioka, CMT
• Elaine Elizabeth Morisset
• Morning Breeze Hospice Inc.
• Morningside Recovery
• Morningside Recovery, LLC
• Morningstar Hospice
• Morningstar Laboratories LLC

• Orthopaedic Surgery of the Spine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.