Evan F Marino LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

274837 Issued in MA

Legal business name

EVAN F MARINO LLC

Practice address

99 Jackson St
Methuen, MA 01844-5044

Phone

(978) 689-2540

Fax

(978) 689-0295

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Evan Frank Marino, DONPI 1093000390

Title

Director

Phone

(978) 689-2540

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Frank Marino, D.O.

  • Interventional Cardiology Physician
  • Methuen, MA
  • NPI 1093000390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1194207266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445044",
            "telephone_number": "978-689-2540",
            "fax_number": "978-689-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JACKSON ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445044",
            "telephone_number": "978-689-2540",
            "fax_number": "978-689-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN F MARINO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-689-2540",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "274837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Methuen, MA
• Providers in Methuen, MA by specialty
• Interventional Cardiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.