Individual provider Active NPI

John R Marino Sr., DPM

  • Foot Surgery Podiatrist
  • Mount Pleasant, SC
National Provider Identifier
1346240579
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
131 Issued in SC
Practice address
3510 Highway 17 Byp N Ste 220
Mt Pleasant, SC 29466-8245
Phone
(843) 853-3474
Fax
(843) 853-3500
NPI assigned
Jul 29, 2005
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 131 SC Primary

Addresses

Primary practice location

3510 Highway 17 Byp N Ste 220
Mt Pleasant, SC 29466-8245

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620

Other identifiers 2

IdentifierTypeStateIssuer
P00832519OtherSCRAILROAD MEDICARE ID-RSFPN
PD1313MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000773 SC Practitioner - Podiatry 6901936129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

180 Wingo Way
Mt Pleasant, SC 29464-1810

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

3500 N Hwy 17
Mt Pleasant, SC 29466-9123
Phone (843) 723-6426

3510 Highyway 17
Mt Pleasant, SC 29466-8227
Phone (843) 789-1800

3510 Hwy 17 N
Mt Pleasant, SC 29466-8227

3510 Hwy 17 N 325
Charleston Urology Associates
Mt Pleasant, SC 29466-8227
Phone (843) 884-8045

3510 Hwy 17 North 110
Mt. Pleasant, SC 29466-8227
Phone (843) 958-1281

8950 University Blvd
North Charleston, SC 29406-9115

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue30
Removal of skin lesions11
Removal of nail tissue140
Removal or shaving of skin growth126
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince May 10, 2010 Accepting new patients
Roper St. Francis Specialty Physicians Foot Surgery CurrentSince Feb 1, 2026 Accepting new patients
Palmetto Podiatry P.a. CurrentSince May 4, 1994 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince May 10, 2010 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

1220 Hospital Dr
Ste A
Mt Pleasant, SC 29464
Phone (843) 388-8222

3510 Highway 17 Byp N
Mt Pleasant, SC 29466
Phone (843) 881-9159

3510 N Highway 17
Ste 220
Mt Pleasant, SC 29466
Phone (843) 720-8317

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20483/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jmarino1251931@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1346240579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 HIGHWAY 17 BYP N STE 220",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668245",
            "telephone_number": "843-853-3474",
            "fax_number": "843-853-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID-RSFPN",
            "identifier": "P00832519",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD1313",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.