Patri Marie Marconi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01072571A Issued in IN

Practice address

301 Gordon Gutmann Blvd
Suite 401
Jeffersonville, IN 47130-3764

Phone

(812) 282-0637

Fax

(812) 283-6330

NPI assigned

May 16, 2008

Last updated

Aug 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1326205592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD",
            "address_2": "SUITE 401",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303764",
            "telephone_number": "812-282-0637",
            "fax_number": "812-283-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD",
            "address_2": "SUITE 401",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303764",
            "telephone_number": "812-282-0637",
            "fax_number": "812-283-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCONI",
        "first_name": "PATRI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125052331",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01072571A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J Malone, M.D.
• Anitha Mandadapu, M.D
• Donna S Mann, MSW, LCSW
• Jacob Mann, RBT
• Jacqueline Mannen, BS
• Courtney Nicole Marcum, RBT
• Kennedie Margarida, RBT
• Christina Dawn Marshall, RBT
• Maggie Marshall
• Nathan Andrew Marshall, PT

• Surgery Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.