Thomas Edward Marcinowski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102865 Issued in NC

Practice address

1202 Medical Center Dr
Wilmington, NC 28401-7307

Phone

(910) 772-6290

Fax

(910) 341-3429

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

No

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 NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Shallotte Medical Center Inc

  • Family Medicine Physician
  • Supply, NC
  • NPI 1306815741
  NPD (past)
• Shallotte Medical Center Inc

  • Family Medicine Physician
  • Sunset Beach, NC
  • NPI 1538138979
  NPD (past)
• Shallotte Medical Center Inc

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1609845049
  NPD (past)
• Urgent Care Centers of Carolina, Inc.

  • Urgent Care Clinic/Center
  • Burlington, NC
  • NPI 1235214123
  NPD (past)
• Wilmington Health PLLC

  • Multi-Specialty Clinic/Center
  • Wilmington, NC
  • NPI 1881632339
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1831166420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-772-6290",
            "fax_number": "910-341-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINOWSKI",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00414184",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Danielle Marazzo, RD
• Kenneth Charles Marburg, MD
• Rachel March, LCSW
• Christopher Robert Marchand, DPT
• Emily Fontenot Marcinkowski, M.D.
• Gail Marcus, M.ED., CGC
• Anita Shwarsh Israel Mardirosian, MD
• Paige Marenah, LCAS, LCSW, LISW-CP
• Margaret Michelle Mensch LPC PLLC
• Marguerite'S Wellness Group PLLC

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.