Telomere Anesthesiology Associates

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-05222 Issued in NC

Legal business name

TELOMERE ANESTHESIOLOGY ASSOCIATES

Practice address

1212 Mann Dr
Suite 200
Matthews, NC 28105-5510

Phone

(704) 841-0992

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By 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

Baptiste Marino, M.D.NPI 1104070820

Title

Owner, Physician

Phone

(704) 841-0992

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Baptiste S Marino, MD

  • General Practice Physician
  • Matthews, NC
  • NPI 1104070820
  NPD (past) Authorized official

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1629471867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1707",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281061707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MANN DR",
            "address_2": "SUITE 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055510",
            "telephone_number": "704-841-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOMERE ANESTHESIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "BAPTISTE",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "704-841-0992",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-05222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle T Teague, OTR/L
• Sarah Ashley Teel, LCSWA
• Binyam Samuel Teferra
• Lokesh Kumar Tejwani, MD
• Telepartners for Integrated Health
• Clayton Brett Templeton, MD
• Jessica M Terrell
• Angelo A. Terrigno, D.C.
• Catherine Janell Tewolde, CNP
• Stacy Hua Thao, OTR/L

• Medical Physician Assistant in Matthews, NC
• Providers in Matthews, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.