Pamela Jean Marok, PMHCNS

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN266366 - COA1 Issued in OH

Practice address

2639 Upton Ave
Toledo, OH 43606-3936

Phone

(419) 471-1848

Fax

(419) 471-0037

NPI assigned

Apr 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Certified Nurse Specialist

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melanie S Haddox, MD, LLC

  • Psychiatry Physician
  • Toledo, OH
  • NPI 1013049261
  Medicare reassignment

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1649613951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 UPTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063936",
            "telephone_number": "419-471-1848",
            "fax_number": "419-471-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 UPTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063936",
            "telephone_number": "419-471-1848",
            "fax_number": "419-471-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROK",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PMHCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN266366 - COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acacia Renee Marks, LSW
• Georgianne Marks
• Autumn Marlow
• Roxanne Marlow
• Christopher Lee Marlowe, M.D.
• Marquetta K Bush
• Lisa Ann Marquette, LLMSW
• Brandan Douglas Marr
• Lynn M Marr
• Patrice Marr

• Adult Psychiatric/Mental Health Registered Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.