Active NPI
R Anthony Marrese, MD
- Orthopaedic Surgery Physician
- Evansville, IN
National Provider Identifier
1750477097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01024696
- Practice address
- 350 W Columbia St
Suite 230
Evansville, IN 47710 - Phone
- (812) 424-3321
- Fax
- (812) 424-3328
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 4, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01024696 | IN | Primary |
| Orthopaedic Surgery Physician | 207X00000X | IL | ||
| Orthopaedic Surgery Physician | 207X00000X | 111766 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | ME13714 | FL |
Addresses
Primary practice location
350 W Columbia St
Suite 230
Evansville, IN 47710
Mailing address
350 W Columbia St
Suite 230
Evansville, IN 47710
Phone (812) 424-3321
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164366043 | Medicaid | IL | |
| 211805 | Other | IL | MEDICARE |
| 06022530 | Other | IL | BCBS |
| 0164366043 | Other | IL | IPA |
Other names 1
- Rocco Anthony Marrese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME13714 | FL | MD | Orthopaedic Surgery Physician |
| 036041378 | IL | MD | Orthopaedic Surgery Physician |
| 01024696 | IN | MD | Orthopaedic Surgery Physician |
| 111766 | MO | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1750477097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W COLUMBIA ST",
"address_2": "SUITE 230",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47710",
"telephone_number": "812-424-3321",
"fax_number": "812-424-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W COLUMBIA ST",
"address_2": "SUITE 230",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47710",
"telephone_number": "812-424-3321",
"fax_number": "812-424-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRESE",
"first_name": "R",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01024696",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "111766",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME13714",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164366043",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "211805",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "06022530",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IPA",
"identifier": "0164366043",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROCCO",
"last_name": "MARRESE",
"middle_name": "ANTHONY",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.