Marcos G Joppert MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME73531 Issued in FL

Legal business name

MARCOS G JOPPERT MD

Practice address

3253 N McMullen Booth Rd
Ste 100
Clearwater, FL 33761-2043

Phone

(727) 725-8102

Fax

(727) 796-7009

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dawn Fulkerson

Title

Director of Pharmacy Services

Phone

(239) 274-8200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FLORIDA CANCER SPECIALISTS COUNTRYSIDE Doing business as

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1043325079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 N MCMULLEN BOOTH RD",
            "address_2": "STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 N MCMULLEN BOOTH RD",
            "address_2": "STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612043",
            "telephone_number": "727-725-8102",
            "fax_number": "727-796-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCOS G JOPPERT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "239-274-8200"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME73531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265956500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1013349",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA CANCER SPECIALISTS COUNTRYSIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John G Marakas
• Susan L Marcelli, MD
• Daryl Marcelo
• Judith A. Marchwinski, P.T.
• Elizabeth Shomberg Marcinski, IMH
• Anthony L Marcotte, DO
• Margolin MD PA
• Jerry Alan Margolin, M.D.
• Maria'S Adult Day Care Center
• Mark a. Spencer, D.C., P.a.

• Non-Pharmacy Dispensing Site in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.