Individual provider Active NPI

Mark Steven Fishman, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Miramar, FL
National Provider Identifier
1922060292
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS9439 Issued in FL
Practice address
3000 SW 148TH Ave Ste 115
Miramar, FL 33027-4181
Phone
(954) 438-7000
Fax
(954) 589-1742
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS9439 FL Primary

Addresses

Primary practice location

3000 SW 148TH Ave Ste 115
Miramar, FL 33027-4181

Mailing address

3000 SW 148TH Ave Ste 115
Miramar, FL 33027-4181
Phone (954) 438-7000

Other identifiers 4

IdentifierTypeStateIssuer
P00418194OtherMEDICARE RAILROAD RETIREMENT
002876700OtherFLGROUP MEDICAID
002422800MedicaidFL
K0493OtherGROUP MEDICARE PTAN

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
I20050708000282 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 9638115918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
South Florida Spine and Sports Specialists LLCGroup PAC ID 1951684968, 6 clinicians

Practice addresses (Care Compare)

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

3000 SW 148TH Ave
Suite 115
Miramar, FL 33027-4181
Phone (954) 438-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Spine & Sports Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Aug 16, 2016 Accepting new patients
South Florida Spine & Sports Specialists LLC Physical Medicine & Rehabilitation CurrentSince Aug 16, 2016 Accepting new patients
Spinecare Associates, LLC Physical Medicine & Rehabilitation Past Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc PastSince Apr 15, 2021 Accepting new patients
Sports Medicine Associates of South Florida, P.a. Physical Medicine & Rehabilitation PastSince Jul 1, 1998 Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients

Locations

3000 SW 148th Ave
Ste 115
Miramar, FL 33027
Phone (954) 438-7000

Interoperability endpoints

  • Direct secure messaging: mark.fishman.1@13984.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13984/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1922060292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVE STE 115",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274181",
            "telephone_number": "954-438-7000",
            "fax_number": "954-589-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVE STE 115",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274181",
            "telephone_number": "954-438-7000",
            "fax_number": "954-589-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS9439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIREMENT",
            "identifier": "P00418194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "002876700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002422800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "K0493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.