Individual provider Active NPI

Elizabeth E Marquetti IV, MD,PHARMACY ,PHD

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Palmetto, GA
National Provider Identifier
1386918258
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
CCMA1022-7775 Issued in KS
Practice address
4 Sweetbriar Dr # 4
Palmetto, GA 30268-9408
Phone
(470) 233-0982
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X CCMA1022-7775 KS Primary

Addresses

Primary practice location

4 Sweetbriar Dr # 4
Palmetto, GA 30268-9408

Mailing address

4 Sweetbriar Dr # 4
Palmetto, GA 30268-9408
Phone (470) 233-0982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CCMA1022-7775KSMDClinical & Laboratory Immunology (Allergy & Immunology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1386918258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SWEETBRIAR DR # 4",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302689408",
            "telephone_number": "470-233-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SWEETBRIAR DR # 4",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302689408",
            "telephone_number": "470-233-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUETTI",
        "first_name": "ELIZABETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD,PHARMACY ,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "KS",
            "license": "CCMA1022-7775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.