Marc Del Rosario, MD
Individual provider Active NPI Cardiovascular Disease Physician · Memphis, TN
NPI 1649470337 · NPPES record last updated Aug 4, 2011
Key facts
- NPI
- 1649470337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 2007010288 (MO)
- Practice address
- 1211 Union Ave
Suite 495
Memphis, TN 38101-6656 - Phone
- (901) 507-6600
- Fax
- (901) 507-6599
- NPI assigned
- Jul 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47307 | TN | MD | Critical Care Pharmacist |
| 2007010288 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Cardiovascular Center, LLC | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- mdelrosario@heartcenter.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2007010288 | MO | Yes |
Addresses
Primary practice location
1211 Union Ave
Suite 495
Memphis, TN 38101-6656
Mailing address
PO Box 2044
Dept 4300
Memphis, TN 38101-4300
Phone (901) 821-0338
Other providers in Memphis, TN
- Joseph A Defranco
- Kelsey Defreece
- Mojdeh Dehghan
- Sondra Deimund
- Martin Erasmo Del Real Navarro
- Andrea Magali Del Valle Ochelli
- Angela Delaney Freedman
- Tammy Delaney
- Christina Clare Delaughter
- Heather Delay
All providers in Memphis, TN · Cardiovascular Disease Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.