John Thomas Marucheck, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25365 Issued in NC

Practice address

3320 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7300

Phone

(919) 855-8911

Fax

(919) 855-9424

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duke University Affiliated Physicians, Inc.

  dba Sutton Station Internal Medicine

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  Medicare reassignment NPD
• North Hills Internal Medicine, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1083671101
  Authorized official Same address or phone
• Duke University Affiliated Physician, Inc.

  dba North Hills Internal Medicine

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1134361272
  NPD
• Duke University Affiliated Physicians, Inc.

  dba Duke Urgent Care

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795

  Internal Medicine

  NPD

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1326036591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 DRESDEN LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122336",
            "telephone_number": "919-855-8911",
            "fax_number": "919-855-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 WAKE FOREST RD",
            "address_2": "SUITE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097300",
            "telephone_number": "919-855-8911",
            "fax_number": "919-855-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCHECK",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "25365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954546",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thais Martins
• Noah Martinson, LCSW
• Molly Martucci, MSW, LCSWA
• Cameron Martz
• Kelli Jones Martz, PHARM D
• Mary J. Forbes, MD, PLLC
• Mary Morgan Bitler Keyser DDS Ms PLLC (Buckthal Keyser Orthodontics)
• Mary Paula Zaytoun DDS Mso and Henry S Zaytoun Jr DDS Mso PA (Zaytoun Orthodontics)
• Mary Ripple LCSW PLLC
• Mary Turner Nutrition, LLC

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.