Robert David Maresh, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME112762 Issued in FL

Practice address

241 Blakeley CT
Fleming Island, FL 32003-7877

Phone

(504) 920-8692

Fax

(352) 300-3606

NPI assigned

Dec 13, 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

Enrolled in FL, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGEICD
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Che Behavioral Health Services of Florida, P.a.

  • Community/Behavioral Health Agency
  • Ft Lauderdale, FL
  • NPI 1932721206

  Psychiatry

  Medicare reassignment NPD
• Orles Pain Management & Regenerative Medicine GRP

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1831744549
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Complex Care PC

  • Internal Medicine Physician
  • Red Bank, NJ
  • NPI 1154379626
  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249

  Psychiatry

  Medicare reassignment NPD
• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Durable Medical Equipment & Medical Supplies
  • North Bergen, NJ
  • NPI 1215734199
  NPD
• B Beardsley Arnp, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1659953586
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1821159484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 BLAKELEY CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037877",
            "telephone_number": "504-920-8692",
            "fax_number": "352-300-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 BLAKELEY CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037877",
            "telephone_number": "504-920-8692",
            "fax_number": "352-300-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESH",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME112762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01455628",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiva Mahinrad, M.D.
• Harrison S Mahon, MD
• Keyona Mangalindan, APRN
• John Anthony Mansour Jr., DO
• Margaret M Marangi
• Margaret Rose Glenn Counseling, PLLC
• Daphnee Martineau-Paul
• Erynn Elisabeth Massa
• Lee Adam Massie, AGACNP-BC
• Justin Anthony Masud, PA-C

• Psychiatry Physician in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.