Ronald F Marascalco, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-00908 Issued in NC

Practice address

1806 Glendale Dr SW
Wilson, NC 27893-4402

Phone

(800) 243-0566

Fax

(252) 243-1347

NPI assigned

Aug 30, 2006

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Polley Clinic of Dermatology & Dermatologic Surgery

  • Dermatopathology Physician
  • Wilson, NC
  • NPI 1104847714
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment
• Advanced Dermatology and Skin Surgery, PA

  • Dermatology Physician
  • Asheville, NC
  • NPI 1215990700
  NPD (past)
• STMD LLC

  • Internal Medicine Physician
  • Brevard, NC
  • NPI 1750560504
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1649389651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 GLENDALE DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934402",
            "telephone_number": "800-243-0566",
            "fax_number": "800-243-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 GLENDALE DR SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934402",
            "telephone_number": "800-243-0566",
            "fax_number": "252-243-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARASCALCO",
        "first_name": "RONALD",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "587607142",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCL847B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Allison Malyak, MD
• William Oliver Mann, D.O.
• Taylor Simone Manning, DMD
• Manual Physical Therapy, Inc
• Tricia Maragh
• Craig Markowski, DPT, MPT
• Amy Marlow
• Melissa Williamson Marshall
• Brittany Marshburn, PA-C
• Cornelius Devante Martin, DMD

• Physician Assistant in Wilson, NC
• Providers in Wilson, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.

Verify at the official NPI Registry.