Clifford S. Marine, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-21049 Issued in KS

Practice address

7500 W 110TH St
Suite 500
Overland Park, KS 66210-2372

Phone

(800) 881-0722

NPI assigned

Feb 6, 2012

Last updated

Feb 6, 2012By the provider in NPPES

Sex

Male

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Johnson County OB-GYN Chartered

  • Obstetrics & Gynecology Physician
  • Merriam, KS
  • NPI 1629178611
  NPD (past)
• Mid America Physician Services LLC

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
  • NPI 1952734741
  NPD (past)
• Timothy K. Link, MD, Chartered

  • Clinical Medical Laboratory
  • Overland Park, KS
  • NPI 1235359092
  NPD (past)

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1366714354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 W 110TH ST",
            "address_2": "SUITE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102372",
            "telephone_number": "800-881-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 W 110TH ST",
            "address_2": "SUITE 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102372",
            "telephone_number": "800-881-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINE",
        "first_name": "CLIFFORD",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-21049",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9H39",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marillac
• Marillac Center, Inc. (Children's Psychiatric Hospital of Marillac)
• Marillac Center, Inc. (Marillac)
• Marillac Center, Inc.
• Marilyn a. Solsky, M.D., LLC
• Angelica Mariner
• Mark D. Gilroy DDS, PA
• Jeffrey Desmond Markey, M.D.
• Lisa Ann Markley, MS, RDN, LD
• Alexander Markopoulos, RBT

• Specialist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.