S S Marathe MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

S S MARATHE MD PA

Doing business as

Medical Specialists PA

Practice address

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

Phone

(386) 445-2003

NPI assigned

Aug 6, 2007

Last updated

Jun 19, 2008By the provider in NPPES

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 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

  dba Medical Specialists 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, and the practitioner matching its NPPES authorized official.

• 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Specialists PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Michael Russell, M.D.
• Elvis Scott Rutledge, RN
• Angela Pearl Ryan, PSYD
• S & B Kingdom Care L.L.C
• S and S United 'LLC' (American Chiropractic and Spinal Decompression Center)
• Saam Enterprise Inc (Bright Star Care of St. Augustine Palm Coast)
• 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.