Marietta Medical Associates LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MARIETTA MEDICAL ASSOCIATES LLC

Practice address

445 Windy Hill Rd SE
Suite 200
Marietta, GA 30060-7342

Phone

(770) 431-9533

Fax

(770) 431-9535

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Yoan M Cruz

Title

President/Owner

Phone

(404) 630-9957

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Demarino, MD

  • Anesthesiology Physician
  • Smyrna, GA
  • NPI 1134182728
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1508051244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WINDY HILL RD SE",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607342",
            "telephone_number": "770-431-9533",
            "fax_number": "770-431-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINDY HILL RD SE",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607342",
            "telephone_number": "770-431-9533",
            "fax_number": "770-431-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "YOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "404-630-9957"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Health and Rehabilitation Center, Inc.
• Marietta Healthcare Associates, LLC
• Marietta Healthcare LLC
• Marietta Imaging, LLC
• Marietta Medical & Wellness
• Marietta Medical Group
• Marietta Medical Supplies Inc
• Marietta Neonatology, P.C.
• Marietta Neurology and Headache Center, PC
• Marietta Newborn Care LLC

• General Practice Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.