Individual provider Active NPI

Arthur S Mariano, M.D.

  • Obstetrics & Gynecology Physician
  • Valrico, FL
National Provider Identifier
1043302797
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME28133 Issued in FL
Practice address
3625 State Road 60 E
Valrico, FL 33594-3586
Phone
(813) 661-2525
Fax
(813) 651-0591
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME28133 FL Primary

Addresses

Primary practice location

3625 State Road 60 E
Valrico, FL 33594-3586

Mailing address

3625 State Road 60 E
Valrico, FL 33594-3586
Phone (813) 661-2525

Other identifiers 3

IdentifierTypeStateIssuer
00288OtherFLSTAYWELL/HEALTHEASE
202312OtherFLAMERIGROUP
051353900MedicaidFL

Other names 1

  • Dr. Arthur A Mariano Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110000929 FL Practitioner - Obstetrics/Gynecology 7113216243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME28133FLMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1043302797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 STATE ROAD 60 E",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943586",
            "telephone_number": "813-661-2525",
            "fax_number": "813-651-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 STATE ROAD 60 E",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943586",
            "telephone_number": "813-661-2525",
            "fax_number": "813-651-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "ARTHUR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME28133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL/HEALTHEASE",
            "identifier": "00288",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "202312",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051353900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARTHUR",
            "last_name": "MARIANO",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.