Raymond L Marecek, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

C3284 Issued in AR

Practice address

2215 Wildwood Ave
Ste 105
North Little Rock, AR 72120-5089

Phone

(501) 833-3833

Fax

(501) 833-8191

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1750349346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "STE 105",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-833-3833",
            "fax_number": "501-833-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "address_2": "STE 105",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-833-3833",
            "fax_number": "501-833-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARECEK",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AR",
            "license": "C3284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104394001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.