Active NPI
Annicol Marrocco, MD
- Emergency Medicine Physician
- Ft Myers, FL
National Provider Identifier
1699747642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0091152
- Practice address
- 13681 Doctors Way
Ft Myers, FL 33912-4300 - Phone
- (239) 768-8611
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0091152 | FL | Primary |
Addresses
Primary practice location
13681 Doctors Way
Ft Myers, FL 33912-4300
Mailing address
285 Grande Way Apt 503
Naples, FL 34110-6487
Phone (239) 596-2481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52203 | Other | FL | BCBS |
| 271992400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041210000784 | FL | Practitioner - Emergency Medicine | 2163417288 | Reassigns benefits to 1 organization |
| I20110923000250 | TX | Practitioner - Emergency Medicine | 2163417288 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0091152 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Lisa Cicetti PSYD LMHC Inc. | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Emergency Physicians of Saint Clares LLC | Emergency Medicine | Past | Accepting new patients |
| Collier Emergency Specialists LLC | Emergency Medicine | Past | Accepting new patients |
| South Gulf Coast Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Pride Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Hogarth Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
2500 Quantum Lakes Dr
Ste 203
Boynton Beach, FL 33426
Phone (561) 502-1992
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1669520409
Emergency Medicine
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1740416015
Emergency Medicine
-
- Emergency Medicine Physician
- Ft Myers, FL
- NPI 1124013149
Emergency Medicine
-
- Emergency Medicine Physician
- Denville, NJ
- NPI 1366517856
Emergency Medicine
-
- Emergency Medicine Physician
- Newton, NJ
- NPI 1770532343
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1699747642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 GRANDE WAY APT 503",
"city": "NAPLES",
"state": "FL",
"postal_code": "341106487",
"telephone_number": "239-596-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13681 DOCTORS WAY",
"city": "FT MYERS",
"state": "FL",
"postal_code": "339124300",
"telephone_number": "239-768-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROCCO",
"first_name": "ANNICOL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0091152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52203",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271992400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.