Active NPI
Carol Marino, D.O.
- Family Medicine Physician
- Milford, OH
National Provider Identifier
1255518296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5751
- Practice address
- 201 Old Bank Rd
Suite 103
Milford, OH 45150-2416 - Phone
- (513) 248-0100
- Fax
- (513) 248-4334
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5751 | OH | Primary |
Addresses
Primary practice location
201 Old Bank Rd
Suite 103
Milford, OH 45150-2416
Mailing address
201 Old Bank Rd
Suite 103
Milford, OH 45150-2416
Phone (513) 248-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269605 | Medicaid | OH |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5751 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1255518296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 OLD BANK RD",
"address_2": "SUITE 103",
"city": "MILFORD",
"state": "OH",
"postal_code": "451502416",
"telephone_number": "513-248-0100",
"fax_number": "513-248-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 OLD BANK RD",
"address_2": "SUITE 103",
"city": "MILFORD",
"state": "OH",
"postal_code": "451502416",
"telephone_number": "513-248-0100",
"fax_number": "513-248-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "CAROL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "5751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269605",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.