Organization Active NPI

Frank T. Marascalco, M.D., P.a.

  • Specialist
  • Clarksdale, MS
National Provider Identifier
1629293113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FRANK T. MARASCALCO, M.D., P.A.
Practice address
2000 N State St
Clarksdale, MS 38614-6100
Phone
(662) 627-7361
Fax
(662) 627-1158
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank T. Marascalco, M.D.
Title
Obstetrics and Gynecology
Phone
(662) 627-7361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MS Primary

Addresses

Primary practice location

2000 N State St
Clarksdale, MS 38614-6100

Mailing address

2000 N State St
Clarksdale, MS 38614-6100
Phone (662) 627-7361

Other identifiers 1

IdentifierTypeStateIssuer
06230874MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629293113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146100",
            "telephone_number": "662-627-7361",
            "fax_number": "662-627-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N STATE ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146100",
            "telephone_number": "662-627-7361",
            "fax_number": "662-627-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK T. MARASCALCO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARASCALCO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OBSTETRICS AND GYNECOLOGY",
        "authorized_official_telephone_number": "662-627-7361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06230874",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.