Carlotta M Maresca, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

CM042961 Issued in MI

Practice address

5400 Mackinaw Rd
5TH Floor
Saginaw, MI 48604-9515

Phone

(989) 583-5060

Fax

(989) 583-5046

NPI assigned

Sep 15, 2006

Last updated

Jun 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1093811515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-2833",
            "fax_number": "989-583-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "5TH FLOOR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-583-5060",
            "fax_number": "989-583-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESCA",
        "first_name": "CARLOTTA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "CM042961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS PROVIDER #",
            "identifier": "0207310861",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101590592",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382684672",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE PROVIDER NUMBER",
            "identifier": "C3006",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "104415",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "020042476",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN #",
            "identifier": "1009436",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "0207311781",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Steven Mapes, PTA
• Maple Leaf Counseling Services LLC
• Daniela Carolina Marcano, MD
• Jason William Marciak
• Jennifer A Marden, MA, LLPC
• Luigi Maresca, MD
• Matthew David Margraf, CRNA
• Nicole Marinelli, LPC
• Todd Anthony Marino, D.D.S.,P.L.C.
• Mark W Pankonin MD PC

• Specialist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.