THOMAS R. MARCELLINO SR. (NPI# 1134109663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134109663 |
| Entity Type | Individual |
| Full Name | THOMAS R. MARCELLINO SR. |
| Credential | MD |
| Practice Address |
6265 Rock Chalk Dr Suite 1100 Lawrence KS 66049 |
| Practice Telephone | 7858425070 |
| Practice Fax Number | 7855055264 |
| Mailing Telephone | 7858425070 |
| Mailing Fax Number | 7855055264 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 04-32383 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200550800B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063666881 | Thomas L Marcellino | Physical Therapist | 40 Toc Dr, Highland, NY 12528-1506 | 2008-11-06 |
| Street Address |
6265 ROCK CHALK DR SUITE 1100 |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243680 | Lawrence Surgery Center LLC | Clinic/Center | 6265 Rock Chalk Dr, Ste 2100, Lawrence, KS 66049-5232 | 2005-05-31 |
| 1528603719 | Lawrence Physicians LLC | Surgery | 6265 Rock Chalk Dr, Suite 2400, Lawrence, KS 66049 | 2019-11-12 |
| 1588144463 | Andrew Scheer | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 | 2018-08-20 |
| 1811433733 | Grant Miller | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049-5232 | 2017-01-17 |
| 1770038523 | Jenna Hornbeck | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 | 2016-08-22 |
| 1326409970 | Karen Tsai | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049-5232 | 2016-03-10 |
| 1679980908 | Lawrence Physicians LLC | Family Medicine | 6265 Rock Chalk Dr, Suite 1100, Lawrence, KS 66049 | 2014-07-18 |
| 1043624349 | Emily Nicole Heronemus | Family Medicine | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 | 2014-06-13 |
| 1083964522 | Jennifer Bihlmaier | Family Medicine | 6265 Rock Chalk Dr, Suite 1100, Lawrence, KS 66049 | 2012-09-12 |
| 1164789020 | James Huston | Orthopaedic Surgery | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 | 2012-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
| 1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
| Find all providers in zip 66049 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
| 1871932921 | Ashley Elizabeth Bloom | Family Medicine | 3510 Clinton Pkwy Ste 210, Lawrence, KS 66047-2145 | 2013-06-21 |
| 1437597630 | Phillip Andrew Godwin | Family Medicine | 603 Ohio St, Lawrence, KS 66044-2357 | 2013-06-10 |
| 1215254420 | Kathryn Elizabeth Lynch | Family Medicine | 5241 Carson Pl, Lawrence, KS 66049 | 2010-04-27 |
| 1306082102 | Alan L. Cowles | Family Medicine | 1121 Stoneridge Dr, Lawrence, KS 66049-4772 | 2008-12-29 |
| 1558539072 | 5 Towns Family Medical Care | Family Medicine | 275a Rockaway Tpke, Lawrence, NY 11559-1232 | 2008-02-19 |
| 1881881340 | Thomas J. Joyce, D.o., LLC | Family Medicine | 33 Frost Ln, Lawrence, NY 11559-1808 | 2007-09-28 |
| Find all providers in LAWRENCE | ||||
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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.