DR. ANNA V MARINO (NPI# 1124217260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124217260 |
| Entity Type | Individual |
| Full Name | DR. ANNA V MARINO |
| Credential | MD |
| Practice Address |
3084 Lakecrest Cir Lexington KY 40513-1706 |
| Mailing Address |
Po Box 910670 Lexington KY 40591-0670 |
| Practice Telephone | 8592196440 |
| Practice Fax Number | 8592196449 |
| Mailing Telephone | 8599714685 |
| Mailing Fax Number | 8599714601 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 43442 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
43442 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100095440 | 05 |
| Street Address |
3084 LAKECREST CIR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40513-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299369 | Kristina D. Humphries | Internal Medicine | 3084 Lakecrest Cir, Suite 100, Lexington, KY 40513-1706 | 2005-07-18 |
| 1619163110 | Sarah Elizabeth Grimm | Physician Assistant | 3084 Lakecrest Cir, Lexington, KY 40513-1706 | 2007-09-18 |
| 1376603738 | Chitra Raghavan | Internal Medicine | 3084 Lakecrest Cir, Lexington, KY 40513-1706 | 2006-12-08 |
| 1447279047 | Shannon A. Roberts | Internal Medicine | 3084 Lakecrest Cir, Lexington, KY 40513-1706 | 2006-07-18 |
| 1710914353 | Angela D Lanter | Nurse Practitioner | 3084 Lakecrest Cir, Lexington, KY 40513-1706 | 2006-06-27 |
| 1174568455 | Christine T Ko | Internal Medicine | 3084 Lakecrest Cir, Suite 100, Lexington, KY 40513-1706 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
| 1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
| 1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
| 1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
| 1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
| 1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
| Find all providers in zip 40513 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679816292 | Laura Hamilton Adams | Internal Medicine | 800 Rose St. Mn- 524, Lexington, KY 40536 | 2013-04-02 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1376783092 | Robert Charles Frederich Jr. | Internal Medicine | 1030 S Broadway, Suite 5, Lexington, KY 40504-2681 | 2009-02-21 |
| 1801811815 | L Raymond Reynolds | Internal Medicine | 800 Rose St Ukmc, Mn 524 Division of Endocrinology, Lexington, KY 40536-0298 | 2006-07-12 |
| 1336673102 | Robert Randal Geier | Internal Medicine | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3543 | 2017-04-18 |
| 1710338611 | Neelima Ghanta | Internal Medicine | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2016-06-22 |
| 1891155099 | Adele Amine | Internal Medicine | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2016-03-01 |
| 1336534189 | Kamyar Asadipooya | Internal Medicine | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2015-03-30 |
| 1003170416 | Maali Milhem | Internal Medicine | 1401 Harrodsburg Rd Ste B360, Lexington, KY 40504-3747 | 2012-06-29 |
| 1023372034 | Indu Elizabeth Mathew | Internal Medicine | University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293 | 2012-06-25 |
| Find all providers in LEXINGTON | ||||
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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.