NPIMap

Organization Active NPI

Glenn G. Marinelli MD PA

  • Otolaryngology Physician
  • Prince Frederick, MD
National Provider Identifier
1780854885
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D22534 Issued in MD
Legal business name
GLENN G. MARINELLI MD PA
Practice address
205 Steeple Chase Dr
Suite 304
Prince Frederick, MD 20678-4053
Phone
(443) 486-4088
Fax
(443) 486-4086
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Glenn G. Marinelli, M.D.
Title
President
Phone
(443) 486-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D22534 MD Primary

Addresses

Primary practice location

205 Steeple Chase Dr
Suite 304
Prince Frederick, MD 20678-4053

Mailing address

205 Steeple Chase Dr
Suite 304
Prince Frederick, MD 20678-4053
Phone (443) 486-4088

National Provider Directory

National Provider Directory

Locations

205 Steeple Chase Dr
Ste 304
Prnc Frederck, MD 20678
Phone (443) 486-4088

301 Steeple Chase Dr
Ste 404
Prnc Frederck, MD 20678
Phone (410) 414-3345

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1780854885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STEEPLE CHASE DR",
            "address_2": "SUITE 304",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784053",
            "telephone_number": "443-486-4088",
            "fax_number": "443-486-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STEEPLE CHASE DR",
            "address_2": "SUITE 304",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784053",
            "telephone_number": "443-486-4088",
            "fax_number": "443-486-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN G. MARINELLI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MARINELLI",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-486-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D22534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

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.

Verify at the official NPI Registry.