Philip Marciano, M.D., P.a.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

ME 68618 Issued in FL

Legal business name

PHILIP MARCIANO, M.D., P.A.

Practice address

9975 Tamiami TRL N
#4
Naples, FL 34108-1942

Phone

(239) 513-1119

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip W Marciano, M.D.

Title

President

Phone

(239) 513-1119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1598883043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 TAMIAMI TRL N",
            "address_2": "#4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081942",
            "telephone_number": "239-513-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 TAMIAMI TRL N",
            "address_2": "#4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081942",
            "telephone_number": "239-513-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP MARCIANO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-513-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "ME 68618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Doan Pham, CRNA
• Queanh N Phan, DMD
• Tuvy L Phan
• Liane Pharis
• Philip J Organ DPM PA
• Carme Suze Philistin, FNP
• Gigi Guinose Philius
• Diane Marie Phillips, RN
• Drusilla Susan Phillips
• Melissa Cunningham Phillips

• Oral and Maxillofacial Surgery Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.