Chris Marasco M.D., PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45678 Issued in TN

Legal business name

CHRIS MARASCO M.D., PC

Practice address

112 Airport Drive
Suite H
Shelbyville, TN 37160

Phone

(931) 680-6360

Fax

(931) 680-9909

NPI assigned

Apr 9, 2010

Last updated

Apr 9, 2010By 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

Dr. Chris M Marasco, MDNPI 1881642791

Title

President

Phone

(931) 680-6360

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2521/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Chris M. Marasco, M.D.

  • Internal Medicine Physician
  • Shelbyville, TN
  • NPI 1881642791
  Medicare reassignment NPD Authorized official
• Stephen Blake Feldhaus, APN, NP-C

  • Family Nurse Practitioner
  • Shelbyville, TN
  • NPI 1194224998
  Medicare reassignment NPD

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1649596156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 AIRPORT DRIVE",
            "address_2": "SUITE H",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "37160",
            "telephone_number": "931-680-6360",
            "fax_number": "931-680-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AIRPORT DRIVE",
            "address_2": "SUITE H",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "37160",
            "telephone_number": "931-680-6360",
            "fax_number": "931-680-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS MARASCO M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "MARASCO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-680-6360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "45678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam A. Chamberland, D.D.S.
• Champion Medical Care LLC
• Charles E Kelly II MD
• Charles R Tessier DO PC
• Barry Childers
• Christian Care Center of Bedford County, LLC
• Courtney Ellen Clardy, FNP
• Laura Beth Clardy, L.C.S.W.
• Clark Clements Dental PLLC
• James H Clark, DDS

• Internal Medicine Physician in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.