Individual provider Active NPI

James Thomas Marino II, DC

  • Chiropractor
  • Newark, OH
National Provider Identifier
1487164349
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4664 Issued in OH
Practice address
919 N 21St St
Newark, OH 43055-2919
Phone
(740) 366-3139
Fax
(740) 366-6286
NPI assigned
Oct 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2995 TN
Chiropractor 111N00000X 4664 OH Primary

Addresses

Primary practice location

919 N 21St St
Newark, OH 43055-2919

Mailing address

919 N 21St St
Newark, OH 43055-2919
Phone (740) 366-3139

Other practice location 1

4867 Munson St NW
Canton, OH 44718-3614
Phone (330) 494-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025002742 OH Practitioner - Chiropractic 5496015943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vargo Health Solutions, Inc.Group PAC ID 9537110705, 2 clinicians

Practice addresses (Care Compare)

2424 Whipple Ave NW
Canton, OH 44708-1514
Phone (330) 478-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4664OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vargo Health Solutions, Inc. Chiropractor CurrentSince Oct 15, 2022 Accepting new patients
Belden Village Chiropractic & Wellness Center LLC Chiropractor CurrentSince Oct 15, 2022 Accepting new patients
Powell Chiropractic Clinic Inc Chiropractor PastSince Feb 23, 1994 Accepting new patients

Locations

2424 Whipple Ave NW
Canton, OH 44708
Phone (330) 478-2255

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487164349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552919",
            "telephone_number": "740-366-3139",
            "fax_number": "740-366-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552919",
            "telephone_number": "740-366-3139",
            "fax_number": "740-366-6286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4867 Munson St NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447183614",
            "country_code": "US",
            "telephone_number": "330-494-5533",
            "fax_number": "330-494-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2995",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.