Active NPI
Joseph Marino, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Artesia, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 333
- Practice address
- 612 N 13TH St
Suite F
Artesia, NM 88210-1112 - Phone
- (575) 736-8282
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 136; ANKLE LIC 14 | MT | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 333 | NM | Primary |
Addresses
Primary practice location
612 N 13TH St
Suite F
Artesia, NM 88210-1112
Mailing address
PO Box 629
Artesia, NM 88211-0629
Phone (575) 832-8282
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000014881 | Other | MT | BLUE CROSS BLUE SHIELD |
| 480024176 | Other | MEDICARE RAILROAD | |
| 1679545172 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | podiatrygroup@artesiageneral.hin.us | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136 | MT | MD | Professional Counselor |
| 333 | NM | MD | Occupational Vision Optometrist |
| 136; ANKLE LIC 14 | MT | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artesia General Hospital | Current | Accepting new patients | |
| Artesia General Hospital | Current | Accepting new patients | |
| Clayton Health Systems Inc | Current | Accepting new patients | |
| Artesia General Hospital | Current | Accepting new patients | |
| Southwestern Regional Medical Center | Past | Accepting new patients |
Locations
712 N 13TH St
Artesia, NM 88210
Phone (575) 748-8000
612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262
612 N 13th St
Ste F
Artesia, NM 88210
Phone (505) 748-8310
612 N 13th St
Ste J
Artesia, NM 88210
Phone (505) 746-3119
612 N 13th St
Ste B
Artesia, NM 88210
Phone (505) 746-3119
712 N 13TH St
Artesia, NM 88210
702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333
300 Wilson St
Clayton, NM 88415
Phone (575) 374-2585
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
Organizations & group practices 5
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.
-
- Surgery Physician
- Artesia, NM
- NPI 1114076825
-
- Critical Access Hospital
- Clayton, NM
- NPI 1427051002
-
- Medicare Defined Swing Bed Hospital Unit
- Artesia, NM
- NPI 1023146917
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
- Internal Medicine Physician
- Artesia, NM
- NPI 1225065527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1679545172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 629",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882110629",
"telephone_number": "575-832-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N 13TH ST",
"address_2": "SUITE F",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882101112",
"telephone_number": "575-736-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MT",
"license": "136; ANKLE LIC 14",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NM",
"license": "333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000014881",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480024176",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679545172",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "podiatrygroup@artesiageneral.hin.us",
"affiliation": "N",
"endpointDescription": "EHR Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "612 N 13th St Ste J",
"city": "Artesia",
"state": "NM",
"country_code": "US",
"postal_code": "882101167",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Artesia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.