John a Marascalco, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JOHN A MARASCALCO, MD, PA

Doing business as

Marascalco Dermatology Clinic

Practice address

1300 Sunset Dr
Suite a
Grenada, MS 38901-4086

Phone

(662) 227-4463

Fax

(662) 226-5257

NPI assigned

Apr 18, 2007

Last updated

Jun 18, 2008By the provider in NPPES

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, MDNPI 1568571560

Title

President

Phone

(662) 227-4463

Specialties & licenses 1

Addresses

Other names 1

• MARASCALCO DERMATOLOGY CLINIC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John A Marascalco, MD

  • Dermatology Physician
  • Grenada, MS
  • NPI 1568571560
  Authorized official Same address or phone

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.