Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316930092 Individual Practitioner Male Practitioner

Dr. Mark Konwiser , MD

Specialist • Englewood, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Konwiser, MD is a registered healthcare professional specializing in Specialist in Englewood, FL. Practice services are available at 900 PINE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Pine St
Bldg 1 Ste 122/123

Englewood, FL 342234418

Telephone 9414748811
Fax 9414730058
Associated Practice Facility / Clinic
🏢 Mark Konwiser Md Pa Facility NPI 1750497350

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Englewood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Englewood, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME00050766

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rail Road Medicare
22-0003555 (FL)
Commercial Insurance / Payer ID Occupational License
85944 (FL)
Commercial Insurance / Payer ID Federal Tax #
65-0596347 (FL)
Commercial Insurance / Payer ID Clia #
10D0295356 (FL)
Commercial Insurance / Payer ID Fl Lic Number
ME00050766 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Carolyn Edlund , PA

Physician Assistant - Surgical

NPI 1013257385

Physician Assistant

NPI 1497932784

Doctor of Medicine (M.D.)

Diana Lowe , PA

Physician Assistant - Medical

NPI 1508580515

Physician Assistant

Susan Mccann , ARNP

Nurse Practitioner - Family

NPI 1598122012

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2010

Registered at 900 PINE ST, BLDG 1 STE 122/123, ENGLEWOOD, FL 342234418 (Tel: 9414748811)

📍
Updated Business Mailing Address July 01, 2010

Registered at 900 PINE ST, BLDG 1 STE 122/123, ENGLEWOOD, FL 342234418 (Tel: 9414748811)

👤
Provider Name / Credentials Updated July 01, 2010

Recorded as MARK KONWISER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2010

Specialist (License #ME00050766 in FL)

🟢
Initial NPI Registration & Enumeration August 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316930092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

900 Pine St, Bldg 1 Ste 122/123

Englewood, FL 342234418

Phone: 9414748811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.