NPIMap

Organization Active NPI

Mark a. Bobek M.D., PA

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1932186137
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARK A. BOBEK M.D., PA
Practice address
713 Cedarwood CT
Orlando, FL 32828-8144
Phone
(407) 657-9368
Fax
(407) 823-3082
NPI assigned
Dec 28, 2005
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Mark A Bobek, M.D.NPI 1962489195
Title
Provider/Owner
Phone
(407) 657-9368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU

Addresses

Primary practice location

713 Cedarwood CT
Orlando, FL 32828-8144

Mailing address

713 Cedarwood CT
Orlando, FL 32828-8144
Phone (407) 657-9368

Other identifiers 1

IdentifierTypeStateIssuer
269232500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1525 Bear Lake Rd
Forest City, FL 32703
Phone (407) 296-7075

250 S Chickasaw Trl
Orlando, FL 32825
Phone (407) 380-3466

61 S Dean Rd
Orlando, FL 32825
Phone (407) 273-2929

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1932186137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 CEDARWOOD CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288144",
            "telephone_number": "407-657-9368",
            "fax_number": "407-823-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CEDARWOOD CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288144",
            "telephone_number": "407-657-9368",
            "fax_number": "407-823-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. BOBEK M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BOBEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "407-657-9368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269232500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.