Active NPI
Don E Marascalco, M.D.
- Ophthalmology Physician
- Meridian, MS
National Provider Identifier
1649294935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MS009634
- Practice address
- 1301 20TH Ave
Meridian, MS 39301-4121 - Phone
- (601) 485-2368
- Fax
- (601) 693-2174
- NPI assigned
- Jul 27, 2006
- Last updated
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MS009634 | MS | Primary |
Addresses
Primary practice location
1301 20TH Ave
Meridian, MS 39301-4121
Mailing address
PO Box 1551
Meridian, MS 39302-1551
Phone (601) 485-2368
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00116642 | Medicaid | MS | |
| 051550436 | Medicaid | AL | |
| 180041626 | Other | MS | RAILROAD MEDICARE |
| CH6608 | Other | AL | RAILROAD GROUP ID |
| CH5554 | Other | MS | RAILROAD MEDICARE GROUP |
| 180041976 | Other | AL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS009634 | MS | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic of Meridian PLLC | Ophthalmology | Current | Accepting new patients |
| Butler Optical Center,Inc | Past | Accepting new patients | |
| Custom Optical, Inc. | Past | Accepting new patients |
Locations
130 N Mulberry Ave
Butler, AL 36904
Phone (205) 459-2460
504 E Pushmataha St
Butler, AL 36904
Phone (205) 459-2460
1301 20th Ave
Meridian, MS 39301
Phone (601) 485-2368
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Meridian, MS
- NPI 1386702728
-
- Durable Medical Equipment & Medical Supplies
- Butler, AL
- NPI 1356409643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1649294935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1551",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393021551",
"telephone_number": "601-485-2368",
"fax_number": "601-693-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 20TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014121",
"telephone_number": "601-485-2368",
"fax_number": "601-693-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARASCALCO",
"first_name": "DON",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "MS009634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00116642",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051550436",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180041626",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP ID",
"identifier": "CH6608",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CH5554",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180041976",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.