Individual provider Active NPI

Naicie Ariel Roper Marrow, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1669606232
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 116186 Issued in FL
Practice address
6871 Belfort Oaks PL
Jacksonville, FL 32216-6242
Phone
(904) 674-0022
Fax
(904) 425-0192
NPI assigned
May 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 116186 FL Primary

Addresses

Primary practice location

6871 Belfort Oaks PL
Jacksonville, FL 32216-6242

Mailing address

6871 Belfort Oaks PL
Jacksonville, FL 32216-6242
Phone (904) 674-0022

Other practice location 1

2627 Riverside Ave
Jacksonville, FL 32204-4712
Phone (904) 308-7374

Other practice location 2

2627 Riverside Ave
Jacksonville, FL 32204-4712
Phone (904) 308-7374

Other names 1

  • Naicie Ariel Roper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008001257 FL Practitioner - Obstetrics/Gynecology 8426282302 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 116186FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Medical Center Inc CurrentSince Sep 7, 2013 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
St Vincents Medical Center Inc CurrentSince Sep 7, 2013 Accepting new patients
Womencare PA Past Accepting new patients

Locations

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: naicie.marrow.1@2183.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669606232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6871 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166242",
            "telephone_number": "904-674-0022",
            "fax_number": "904-425-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6871 BELFORT OAKS PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166242",
            "telephone_number": "904-674-0022",
            "fax_number": "904-425-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044712",
            "country_code": "US",
            "telephone_number": "904-308-7374",
            "fax_number": "904-308-2998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2627 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044712",
            "country_code": "US",
            "telephone_number": "904-308-7374",
            "fax_number": "904-308-2998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARROW",
        "first_name": "NAICIE",
        "middle_name": "ARIEL ROPER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 116186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAICIE",
            "last_name": "ROPER",
            "middle_name": "ARIEL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.