Active NPI
Christopher Todd Marazon, D.O.
- Family Medicine Physician
- Gallipolis, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.008258
- Practice address
- 1051 4TH Ave
Gallipolis, OH 45631-1562 - Phone
- (740) 446-5244
- Fax
- (740) 446-6300
- NPI assigned
- Jul 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.008258 | OH | Primary |
| General Practice Physician | 208D00000X | 34.008258 | OH |
Addresses
Primary practice location
1051 4TH Ave
Gallipolis, OH 45631-1562
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5244
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810020351 | Medicaid | WV | |
| 000000492056 | Other | OH | OH MEDICAID UNISON |
| 310917085293 | Other | OH | OH MEDICAID CARESOURCE |
| 2932876 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christopher.marazon.1@17389.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1051 4TH Ave
Gallipolis, OH 45631-1612
Phone (740) 446-5244
Hospital & facility affiliations
- Pleasant Valley Home Health
- Holzer Home Care
- Holzer Medical Center Hospice
- Holzer Medical Center
- Holzer Medical Center Jackson
- Holzer Senior Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 155 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.008258 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holzer Clinic, LLC | Current | Accepting new patients | |
| I Path LLC | Current | Accepting new patients | |
| Holzer Senior Care Center | Past | Accepting new patients |
Locations
936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600
100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050
90 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5131
500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625
Interoperability endpoints
- christopher.marazon.1@17389.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Gallipolis, OH
- NPI 1508817248
-
- Anatomic Pathology & Clinical Pathology Physician
- Gallipolis, OH
- NPI 1942525563
-
- Skilled Nursing Facility
- Bidwell, OH
- NPI 1275524480
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Gallipolis, OH
- NPI 1194801860
-
- Home Health Agency
- Gallipolis, OH
- NPI 1700805421
-
- Rural Acute Care Hospital
- Gallipolis, OH
- NPI 1942256888
-
- Critical Access Hospital
- Jackson, OH
- NPI 1669410940
-
- Home Health Agency
- Gallipolis, OH
- NPI 1689113300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1700803699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5244",
"fax_number": "740-446-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 4TH AVE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311562",
"telephone_number": "740-446-5244",
"fax_number": "740-446-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARAZON",
"first_name": "CHRISTOPHER",
"middle_name": "TODD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.008258",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "34.008258",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810020351",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID UNISON",
"identifier": "000000492056",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID CARESOURCE",
"identifier": "310917085293",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2932876",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christopher.marazon.1@17389.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1051 4th Ave",
"city": "Gallipolis",
"state": "OH",
"country_code": "US",
"postal_code": "456311562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.