John a Marascalco, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JOHN A MARASCALCO, MD, PA

Practice address

1300 Sunset Dr
Suite a
Grenada, MS 38901-4086

Phone

(662) 227-4463

Fax

(662) 226-5257

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

John A Marascalco, MD

Title

President

Phone

(662) 227-4463

Specialties & licenses 1

Addresses

Other names 1

• MARASCALCO DERMATOLOGY CLINIC Doing business as

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1457577074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR",
            "address_2": "SUITE A",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-227-4463",
            "fax_number": "662-226-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET DR",
            "address_2": "SUITE A",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014086",
            "telephone_number": "662-227-4463",
            "fax_number": "662-226-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A MARASCALCO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MARASCALCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-227-4463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARASCALCO DERMATOLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayden McKay Horan, DMD
• Deborah Hughes, FNP-C
• Tatayana Hughes, LMSW, CMHT
• Shelby H Jackson
• James W. Fite, MD
• John H. Coleman,PLLC
• Nekesha Micole Johnson, FNP-BC
• Luanne Fair Pender Jones, PHARM. D.
• Charles Raymond Jordan, FNP
• Joseph F Roberts MD PA

• Specialist in Grenada, MS
• Providers in Grenada, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.