Marino Phillips and Early Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARINO PHILLIPS AND EARLY CLINIC LLC

Doing business as

Crown Family Medicine LLC

Practice address

1 Crown Dr Ste 200
Kirksville, MO 63501-2510

Phone

(660) 665-2846

NPI assigned

May 1, 2008

Last updated

Jul 20, 2010By 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

Kimberly D Swisher

Title

Business Manager

Phone

(660) 665-2846

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CROWN FAMILY MEDICINE LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Arthur Glenn Freeland, M.D.

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1932195930
  NPD (past)
• Kelly McDermott Freeland, ARNP

  • Family Nurse Practitioner
  • Kirksville, MO
  • NPI 1427123942
  NPD (past)
• Joseph N Marino, DO

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1770548059
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1487820254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CROWN DR STE 200",
            "address_2": "P O BOX R",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012510",
            "telephone_number": "660-665-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CROWN DR STE 200",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012510",
            "telephone_number": "660-665-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINO PHILLIPS AND EARLY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "660-665-2846"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "113296",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503873408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN FAMILY MEDICINE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Anne Mann, DO
• Katherine Anne Manning, MD
• Donald L Maples Jr., DO
• Maplewood Farm Group Home
• Kelley Therese Maranan
• Joseph Steven Markiewicz, D.C.
• Michael Roy Martel
• Martin J Borrok DMD PC (M J Borrok DMD PC)
• Collin Murray Martin
• Heather R Martin, D.O.

• Family Medicine Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.