Organization Active NPI

Philip a. Marino, M.D., P.C.

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1265610604
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PHILIP A. MARINO, M.D., P.C.
Doing business as
Rapha Radiology, PC
Practice address
8870 Cedar Springs LN
Knoxville, TN 37923-5407
Phone
(800) 343-2599
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Philip A Marino, M.D., PHD
Title
Chief Manager/Owner
Phone
(423) 638-5988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

8870 Cedar Springs LN
Knoxville, TN 37923-5407

Mailing address

PO Box 52047
Knoxville, TN 37950-2047
Phone (800) 343-2599

Other identifiers 3

IdentifierTypeStateIssuer
DH0149OtherRAILROAD MEDICARE
38183292MedicaidTN
7100045620MedicaidKY

Other names 1

  • Rapha Radiology, PC Doing business as

National Provider Directory

National Provider Directory

Locations

8870 Cedar Springs Ln
Knoxville, TN 37923
Phone (800) 343-2599

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1265610604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52047",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502047",
            "telephone_number": "800-343-2599",
            "fax_number": "865-531-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 CEDAR SPRINGS LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235407",
            "telephone_number": "800-343-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A. MARINO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER/OWNER",
        "authorized_official_telephone_number": "423-638-5988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DH0149",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38183292",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100045620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapha Radiology, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.