Palmetto Podiatry P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

990131 Issued in SC

Legal business name

PALMETTO PODIATRY P.A.

Practice address

1220A Hospital Dr
Mount Pleasant, SC 29464-3251

Phone

(843) 881-9159

Fax

(843) 971-1105

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John R Marino, D.P.M.NPI 1346240579

Title

President Doctor

Phone

(843) 881-9159

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20483/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Marino Sr., DPM

  • Foot Surgery Podiatrist
  • Mount Pleasant, SC
  • NPI 1346240579
  NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1760547848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220A HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643678",
            "telephone_number": "843-881-9159",
            "fax_number": "843-971-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220A HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-881-9159",
            "fax_number": "843-971-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PODIATRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT DOCTOR",
        "authorized_official_telephone_number": "843-881-9159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "990131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD1313",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Facial Surgery Center, LLC
• Palmetto Mt. Pleasant Behavioral Health LLC (Sea Grove Recovery)
• Palmetto Natural Health LLC (Bruce Kesten, DC)
• Palmetto Oculoplastics
• Palmetto Ortho of Chas, PA
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Specialty Pharm LLC (Palmetto Pharm)
• Palmetto Specialty Pharm LLC (Palmetto Pharm)

• Podiatrist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.