Active NPI
Daniel Joseph Marino, MD
- Emergency Medicine Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01069703A
- Practice address
- 1701 S Creasy LN
Lafayette, IN 47905-4972 - Phone
- (800) 654-9410
- NPI assigned
- Jun 18, 2009
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01069703A | IN | Primary |
Addresses
Primary practice location
1701 S Creasy LN
Lafayette, IN 47905-4972
Mailing address
14107 Gemma
San Antonio, TX 78253-4787
Phone (607) 743-9835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Creasy LN
Franciscan Health Lafayette East
Lafayette, IN 47905-4972
Phone (765) 502-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069703A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| Clarksville Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Third Coast Emergency Physicians Southwest PA | Emergency Medicine | Current | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000
4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415
520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412
3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- dmarino163808@direct.franciscanalliance.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Corydon, IN
- NPI 1023487154
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1497793475
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1831970532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164659074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14107 GEMMA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534787",
"telephone_number": "607-743-9835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S CREASY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054972",
"telephone_number": "800-654-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01069703A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.