Cristina Rose Marchesano, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

P4080 Issued in TX

Practice address

920 Medical Plaza Dr
Suite 120
Shenandoah, TX 77380-3260

Phone

(281) 298-1144

Fax

(281) 298-1133

NPI assigned

Aug 9, 2012

Last updated

Mar 30, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cristina.marchesano@think.eclinicaldirectplus.com

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.

• Shaun S. Varghese, M.D., PLLC

  dba The Houston Institute of Neurology for Kids

  • Neurology with Special Qualifications in Child Neurology Physician
  • Shenandoah, TX
  • NPI 1497168546
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1407103393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 120",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "281-298-1144",
            "fax_number": "281-298-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 120",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "281-298-1144",
            "fax_number": "281-298-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESANO",
        "first_name": "CRISTINA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P4080",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "P4080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306370303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen P Maniscalco, M.D.
• George Edward Manoukian, M.D.
• Edward Shawn Mansour, DO
• Ann Renee Manuel
• Amanda Marburger
• Anu Kelur Mariyappa, M.D
• Mark Ciaglia, DO PC (Woodlands Center for Special Surgery)
• Ngoc Anh Le Marshall
• Joycelyn Martin Walcott, AGACNP
• Traci Martin, APRN, CNM

• Developmental - Behavioral Pediatrics Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Developmental - Behavioral Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.