DR. BAPTISTE S MARINO (NPI# 1104070820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104070820 |
| Entity Type | Individual |
| Full Name | DR. BAPTISTE S MARINO |
| Credential | MD |
| Practice Address |
1212 Mann Drive Meidcal Suite 200 Matthews NC 28105 |
| Mailing Address |
Po Box 1707 Matthews NC 28106-1707 |
| Practice Telephone | 7048410992 |
| Practice Fax Number | 8775465252 |
| Mailing Telephone | 3362403500 |
| Mailing Fax Number | 8775465252 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 34079 | NC | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 34079 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 34079 | NC | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 34079 | NC | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
34079 | NC | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
34079 | NC | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 34079 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8950665 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 175 Weddington Branch Rd, Pikeville, KY 415013204 | 6064330404 | 6064320405 |
| Street Address |
1212 MANN DRIVE MEIDCAL SUITE 200 |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841673217 | Matthews Physical Healthcare PC | General Practice | 1730 Matthews Township Pkwy Ste C, Matthews, NC 28105-4928 | 2015-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396059 | Healthworks Med Group of North Carolina P C | General Practice | 200 W 2nd St Fl 2, Winston Salem, NC 27101-4019 | 2020-08-11 |
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1396356606 | Healthworks Med Group of North Carolina P C | General Practice | 3200 Beechleaf Ct Ste 200, Raleigh, NC 27604-1063 | 2020-08-11 |
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1801407150 | Healthworks Med Group of North Carolina P C | General Practice | 2586 James B White Hwy N Bldg A, Whiteville, NC 28472-8974 | 2020-08-11 |
| 1467099127 | Carolina Acute Care & Wellness Center, Pa | General Practice | 2601 N Elm St Ste A, Lumberton, NC 28358-3063 | 2019-12-02 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1972161503 | Shanda Nicole Felton | General Practice | 8 Durbin Pl, Durham, NC 27705-6127 | 2019-05-29 |
| 1437613171 | Sme South Carolina P.C. | General Practice | 212 Cape August Pl, Belmont, NC 28012-6768 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.