Individual provider Active NPI

Rick J. Marino, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
National Provider Identifier
1154434199
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60071497 Issued in WA
Practice address
1022 129TH St S
Tacoma, WA 98444-2215
Phone
(253) 507-9345
Fax
(253) 507-9345
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A049514 CA
Internal Medicine Physician 207R00000X MD60071497 WA Primary
Hospitalist Physician 208M00000X 071373 GA
Hospitalist Physician 208M00000X MD167895 OR

Addresses

Primary practice location

1022 129TH St S
Tacoma, WA 98444-2215

Mailing address

1022 129TH St S
Tacoma, WA 98444-2215
Phone (253) 507-9345

Other identifiers 3

IdentifierTypeStateIssuer
G8898942OtherWAMEDICARE
0249460OtherWASTATE L&I
0276015OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A049514CAMDInternal Medicine Physician
071373GAMDHospitalist Physician
MD167895ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denise a Honer M.D. Inc Internal Medicine PastSince Jan 1, 2001 Accepting new patients
James R Malinak M.D. Inc Internal Medicine PastSince Jan 1, 2001 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Pacific Redwood Medical Services Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Imperial County, Inc.. Internal Medicine Past Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients

Organizations & group practices 6

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1154434199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 129TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984442215",
            "telephone_number": "253-507-9345",
            "fax_number": "253-507-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 129TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984442215",
            "telephone_number": "253-507-9345",
            "fax_number": "253-507-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "RICK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A049514",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60071497",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "071373",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD167895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8898942",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0249460",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0276015",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.