Organization Active NPI

Douglas Marira, MD, PC

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1801941125
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
029284 Issued in GA
Legal business name
DOUGLAS MARIRA, MD, PC
Practice address
5354 Reynolds St
Suite 328
Savannah, GA 31405-6007
Phone
(912) 692-1181
Fax
(912) 692-1184
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Douglas Marira, M.D.NPI 1912224247
Title
Ceo
Phone
(912) 692-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 029284 GA Primary

Addresses

Primary practice location

5354 Reynolds St
Suite 328
Savannah, GA 31405-6007

Mailing address

PO Box 24359
Savannah, GA 31403-4359
Phone (912) 692-1181

Other identifiers 1

IdentifierTypeStateIssuer
000398549GMedicaidGA

National Provider Directory

National Provider Directory

Locations

5354 Reynolds St
Ste 328
Savannah, GA 31405
Phone (912) 355-2772

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1801941125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24359",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314034359",
            "telephone_number": "912-692-1181",
            "fax_number": "912-692-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST",
            "address_2": "SUITE 328",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056007",
            "telephone_number": "912-692-1181",
            "fax_number": "912-692-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS MARIRA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "MARIRA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-692-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "029284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000398549G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.