Active NPI
Alessandro L. Maranzana, M.D.
- Pediatrics Physician
- Chillicothe, OH
National Provider Identifier
1093789356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-085914
- Practice address
- 4439 State Route 159
Suite G10
Chillicothe, OH 45601-8207 - Phone
- (740) 779-4300
- Fax
- (740) 779-4391
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-085914 | OH | Primary |
Addresses
Primary practice location
4439 State Route 159
Suite G10
Chillicothe, OH 45601-8207
Mailing address
4439 State Route 159
Suite G10
Chillicothe, OH 45601-8207
Phone (740) 779-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2588623 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.peds@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-085914 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- amaranzana1060691@direct.osumc.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1093789356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4439 STATE ROUTE 159",
"address_2": "SUITE G10",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018207",
"telephone_number": "740-779-4300",
"fax_number": "740-779-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4439 STATE ROUTE 159",
"address_2": "SUITE G10",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018207",
"telephone_number": "740-779-4300",
"fax_number": "740-779-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARANZANA",
"first_name": "ALESSANDRO",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-085914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2588623",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.peds@adena.medicity.net",
"affiliation": "N",
"address_1": "4439 State Route 159",
"address_2": "Suite g10",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456018207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.