Individual provider Active NPI

Marcie Marandino, D.C.

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1184841777
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8509 Issued in FL
Practice address
301 Kenilworth Ave Ste a
Ormond Beach, FL 32174-4545
Phone
(386) 673-2424
Fax
(386) 673-8222
NPI assigned
Apr 18, 2007
Last updated
Feb 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8509 FL Primary

Addresses

Primary practice location

301 Kenilworth Ave Ste a
Ormond Beach, FL 32174-4545

Mailing address

301 Kenilworth Ave Ste a
Ormond Beach, FL 32174-4545
Phone (386) 673-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001402 FL Practitioner - Chiropractic 1850379983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marandino Schargen Chiropractic, P.a.Group PAC ID 8325026453, 2 clinicians

Practice addresses (Care Compare)

301 Kenilworth Ave
Suite a
Ormond Beach, FL 32174-4545
Phone (386) 673-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marandino Schargen Chiropractic, P.a. Chiropractor CurrentSince Apr 1, 2003 Accepting new patients
Richard Daniel Potts MD PLLC PastSince Nov 24, 2003 Accepting new patients

Locations

340 S Beach St
Ste 104
Daytona Beach, FL 32114
Phone (386) 299-0074

301 Kenilworth Ave
#A
Ormond Beach, FL 32174
Phone (386) 299-0361

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1184841777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KENILWORTH AVE STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744545",
            "telephone_number": "386-673-2424",
            "fax_number": "386-673-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KENILWORTH AVE STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744545",
            "telephone_number": "386-673-2424",
            "fax_number": "386-673-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANDINO",
        "first_name": "MARCIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.