Maranatha Healthcare PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

R7F89 Issued in MO

Legal business name

MARANATHA HEALTHCARE PC

Practice address

9231 W Florissant Ave
Saint Louis, MO 63136-1422

Phone

(314) 522-1888

Fax

(314) 522-9674

NPI assigned

Mar 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Adeluola G Lipede, M.D.

Title

President

Phone

(314) 522-1888

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1679896716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3980",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630063980",
            "telephone_number": "314-522-1888",
            "fax_number": "314-522-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361422",
            "telephone_number": "314-522-1888",
            "fax_number": "314-522-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "LIPEDE",
        "authorized_official_first_name": "ADELUOLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-522-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "R7F89",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "R7F89",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": "R7F89",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Maple, DPT
• Sohail Maqbool, MD
• Philip L Mar, M.D., PHARM.D.
• Soe Soe Mar, MD
• Horacio Marafioti, MD
• Bruno Maranhao, MD
• Mary Maranzana, OT
• Parthasarathi R. Marapareddigari, MD
• Narissa Marasso, NP
• Himani Marathe

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.