Active NPI
John C Mareska, M.D.
- Neurology Physician
- Toledo, OH
National Provider Identifier
1205832573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 3887-9
- Practice address
- 2213 Cherry Street
Suite 304-Acc
Toledo, OH 43616 - Phone
- (419) 251-4028
- Fax
- (419) 251-2861
- NPI assigned
- Jun 22, 2005
- Last updated
- Nov 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 3887-9 | OH | Primary |
Addresses
Primary practice location
2213 Cherry Street
Suite 304-Acc
Toledo, OH 43616
Mailing address
2213 Cherry St
Suite 304-Acc
Toledo, OH 43608
Phone (419) 251-4028
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 791133276 | Other | OH | RR MEDICARE |
| 102851441 | Other | MI | MICHIGAN MCD |
| 0293374 | Medicaid | OH | |
| 000000143031 | Other | OH | ANTHEM BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3887-9 | OH | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1205832573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 CHERRY ST",
"address_2": "SUITE 304-ACC",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43608",
"telephone_number": "419-251-4028",
"fax_number": "419-251-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 CHERRY STREET",
"address_2": "SUITE 304-ACC",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43616",
"telephone_number": "419-251-4028",
"fax_number": "419-251-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARESKA",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "3887-9",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "791133276",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN MCD",
"identifier": "102851441",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0293374",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC",
"identifier": "000000143031",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.