Chris Marasco M.D., PC
Organization Active NPI Internal Medicine Physician · Shelbyville, TN
NPI 1649596156 · NPPES record last updated Apr 9, 2010
Key facts
- NPI
- 1649596156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 45678 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Chris M Marasco, MD
- Title
- President
- Phone
- (931) 680-6360
Practitioners 2
-
Stephen Blake Feldhaus, APN, NP-C
-
Chris M. Marasco, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100910000802 | TN | Part B Supplier - Clinic/Group Practice | 1850416033 |
Receives reassigned benefits from 2 practitioners Practice locations: Shelbyville, TN |
National Provider Directory
Locations
112 Airport Business Park Dr
Ste H
Shelbyville, TN 37160
Phone (931) 680-6360
Interoperability endpoints
- https://api.platform.athenahealth.com/2521/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 45678 | TN | Yes |
Addresses
Primary practice location
112 Airport Drive
Suite H
Shelbyville, TN 37160
Mailing address
112 Airport Drive
Suite H
Shelbyville, TN 37160
Phone (931) 680-6360
Other providers in Shelbyville, TN
- Pam A. Chamberland
- 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
- Laura Beth Clardy
- Clark Clements Dental PLLC
- James H Clark
All providers in Shelbyville, TN · Internal Medicine 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 Apr 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.