S S Marathe MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

S S MARATHE MD PA

Practice address

4869 Palm Coast Pkwy NW
Suite 2
Palm Coast, FL 32137-3661

Phone

(386) 445-2003

NPI assigned

Aug 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shriram S Marathe, MDNPI 1134179922

Title

President

Phone

(904) 824-8158

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Medical Specialists PA Doing business as

Tax ID family

Medical Specialists PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S S Marathe MD PA

  • Nephrology Physician
  • St Augustine, FL
  • NPI 1275584492
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shriram Shridhar Marathe, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1134179922

  Nephrology

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1013108992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 STATE ROAD 207",
            "address_2": "SUITE 102",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845938",
            "telephone_number": "904-824-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 PALM COAST PKWY NW",
            "address_2": "SUITE 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373661",
            "telephone_number": "386-445-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S S MARATHE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MARATHE",
        "authorized_official_first_name": "SHRIRAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-824-8158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250270401",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Specialists PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elvis Scott Rutledge, RN
• Nargiz Ruzmetova
• Angela Pearl Ryan, PSYD
• S & B Kingdom Care L.L.C
• S and S United 'LLC'
• Saam Enterprise Inc
• Sacred Hands at Home, LLC
• Safeway Medical Transport
• Safwan Shams,M.D.,P.a.
• Padmaja Sai, M.D.

• Nephrology Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.