DR. MARK EDWARD FLOREK, M.D. - NPI NUMBER 1932163276

Summary

Provider Name: DR. MARK EDWARD FLOREK, M.D.

NPI Number: 1932163276

Clasification: Internal Medicine (207R00000X)

Organization: CARDIOLOGY AND VASCULAR ASSOCIATES PC

Address:
42557 WOODWARD AVE STE 210
BLOOMFIELD HILLS, MI
ZIP 48304

Phone Number: (248) 253-1608



Detailed Information

DR. Mark Edward Florek, M.D. is an internist in Bloomfield Hills, MI with 34 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. The assigned NPI number for this provider is 1932163276 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1981

The provider's business address is:

42557 WOODWARD AVE STE 210
BLOOMFIELD HILLS, MI
ZIP 48304-206
Phone: (248) 253-1608
Fax: (248) 253-1660

The enumeration date for this NPI number is 4/13/2006 and was last updated on 6/28/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine 4301046918 MI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 B43467 MEDICARE UPIN MI
2 700F37550 OTHER MI BCN
3 B43467 OTHER MI HAP
4 4696890-10 MEDICAID MI
5 700F37550 OTHER MI BCBSM
6 M89900034 MEDICARE ID-TYPE UNSPECIFIED MI
7 1962478743 OTHER MI COMMERCIAL

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1932163276 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name FLOREK The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name MARK The first name of the provider, if the provider is an individual.
5 Provider Middle Name EDWARD The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Credential Text M.D. The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
8 Provider First Line Business Practice Location Address 42557 WOODWARD AVE STE 210 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name BLOOMFIELD HILLS The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name MI The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 483045206 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 2482531608 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 2482531660 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 4/13/2006 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 6/28/2011 The date that a record was last updated or changed.
17 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
18 Healthcare Provider Taxonomy Code 1 207R00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number 1 4301046918 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
20 Provider License Number State Code 1 MI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 B43467 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier State 1 MI
25 Other Provider Identifier 2 700F37550 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier Type Code 2 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier State 2 MI
28 Other Provider Identifier Issuer 2 BCN
29 Other Provider Identifier 3 B43467 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier Type Code 3 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
31 Other Provider Identifier State 3 MI
32 Other Provider Identifier Issuer 3 HAP
33 Other Provider Identifier 4 4696890-10 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
34 Other Provider Identifier Type Code 4 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
35 Other Provider Identifier State 4 MI
36 Other Provider Identifier 5 700F37550 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
37 Other Provider Identifier Type Code 5 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
38 Other Provider Identifier State 5 MI
39 Other Provider Identifier Issuer 5 BCBSM
40 Other Provider Identifier 6 M89900034 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
41 Other Provider Identifier Type Code 6 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
42 Other Provider Identifier State 6 MI
43 Other Provider Identifier 7 1962478743 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
44 Other Provider Identifier Type Code 7 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
45 Other Provider Identifier State 7 MI
46 Other Provider Identifier Issuer 7 COMMERCIAL
47 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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