Organization Active NPI

Constantine G. Marousis MD PA

  • Gastroenterology Physician
  • Sarasota, FL
National Provider Identifier
1093901241
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME73113 Issued in FL
Legal business name
CONSTANTINE G. MAROUSIS MD PA
Practice address
1950 Arlington St
Suite 101
Sarasota, FL 34239-3507
Phone
(941) 366-1400
Fax
(941) 366-1913
NPI assigned
Sep 21, 2007
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Dr. Constantine Gregory Marousis, MDNPI 1437142668
Title
Owner
Phone
(941) 366-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME73113 FL Primary

Addresses

Primary practice location

1950 Arlington St
Suite 101
Sarasota, FL 34239-3507

Mailing address

1950 Arlington St
Suite 101
Sarasota, FL 34239-3507
Phone (941) 366-1400

Other identifiers 2

IdentifierTypeStateIssuer
1093901241OtherFLGROUP NPI
273462100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1921 Waldemere St
Ste 713
Sarasota, FL 34239
Phone (941) 366-1400

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1093901241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "SUITE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393507",
            "telephone_number": "941-366-1400",
            "fax_number": "941-366-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "SUITE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393507",
            "telephone_number": "941-366-1400",
            "fax_number": "941-366-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINE G. MAROUSIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "MAROUSIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-366-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME73113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1093901241",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273462100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.