S S Marathe MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

94907 Issued in FL

Legal business name

S S MARATHE MD PA

Doing business as

Medical Specialists of Hastings

Practice address

201 West Lattin Street
Hastings, FL 32145

Phone

(904) 824-8158

Fax

(904) 823-1284

NPI assigned

Dec 12, 2006

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shriram S Marathe, MD

Title

President

Phone

(904) 824-8158

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medical Specialists of Hastings Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1265592745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 STATE ROAD 207",
            "address_2": "SUITE 102",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320845938",
            "telephone_number": "904-824-8158",
            "fax_number": "904-823-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST LATTIN STREET",
            "city": "HASTINGS",
            "state": "FL",
            "postal_code": "32145",
            "telephone_number": "904-824-8158",
            "fax_number": "904-823-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S S MARATHE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MARATHE",
        "authorized_official_first_name": "SHRIRAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-824-8158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "94907",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "91451",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250270403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Specialists of Hastings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew David Masters
• Samantha Lynn Milstead
• Parker Revels
• Rural Health Care, Inc. (Azalea Health)
• Rural Health Care, Incorporated (Aza Health)
• Sharon Lee Sprenger, LMT
• Stephen Joseph Velez, DDS
• Shasta Cantina Ware

• Family Medicine Physician in Hastings, FL
• Providers in Hastings, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.