Enrique Villa Marana, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20000090 Issued in NC

Practice address

3485 N Main St
Farmville, NC 27828-1466

Phone

(252) 753-3193

Fax

(252) 753-7966

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Ricardo Enrique Marana Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farmville Internal Medicine PA

  • Family Medicine Physician
  • Farmville, NC
  • NPI 1710942610
  Medicare reassignment NPD
• Extended Care Physicians - Mountain, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Asheville, NC
  • NPI 1104823087

  Family Medicine

  NPD (past)
• Prime Care Physicians PA

  • Internal Medicine Physician
  • Goldsboro, NC
  • NPI 1700976701
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1497717342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 N MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281466",
            "telephone_number": "252-753-3193",
            "fax_number": "252-753-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 N MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281466",
            "telephone_number": "252-753-3193",
            "fax_number": "252-753-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANA",
        "first_name": "ENRIQUE",
        "middle_name": "VILLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NC",
            "license": "200000090",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "20000090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126A3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "126A3",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00379704",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "MARANA",
            "middle_name": "ENRIQUE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Medicine Physician in Farmville, NC
• Providers in Farmville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.