Individual provider Active NPI

Marina Doliner, MD

  • Pediatric Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1841452489
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
036129359 Issued in IL
Practice address
401 Colville St
Chattanooga, TN 37405-2815
Phone
(847) 687-3118
Fax
(888) 960-9249
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X A133854 CA
Pediatric Radiology Physician 2085P0229X 51816 TN
Diagnostic Radiology Physician 2085R0202X 036129359 IL
Surgery Physician 208600000X 125052939 IL
Pediatric Radiology Physician 2085P0229X 036129359 IL Primary

Addresses

Primary practice location

401 Colville St
Chattanooga, TN 37405-2815

Mailing address

401 Colville St
Chattanooga, TN 37405-2815
Phone (847) 687-3118

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdoliner228032@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20181217003151 IL Practitioner - Diagnostic Radiology 3678895638 Reassigns benefits to 1 organization
I20200709003277 WI Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 3678895638 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133854CAMDPediatric Radiology Physician
036129359ILMDPediatric Radiology Physician
51816TNMDPediatric Radiology Physician
125052939ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 7, 2019 Accepting new patients
Baycare Aurora, LLC Surgery CurrentSince Jul 1, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 7, 2019 Accepting new patients
Aurora Medical Group, Inc. Pediatric Radiology Current Accepting new patients
Aurora Advanced Healthcare, Inc. Surgery CurrentSince Jul 1, 2020 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jul 1, 2020 Accepting new patients
Pet LLC PastSince May 29, 2013 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

5818 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 447-8071

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

Interoperability endpoints

  • Direct secure messaging: mdoliner228032@direct.myadvocateaurora.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1841452489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COLVILLE ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052815",
            "telephone_number": "847-687-3118",
            "fax_number": "888-960-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COLVILLE ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052815",
            "telephone_number": "847-687-3118",
            "fax_number": "888-960-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLINER",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A133854",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TN",
            "license": "51816",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036129359",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125052939",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IL",
            "license": "036129359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdoliner228032@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 Colville St",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374052815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "401 Colville St",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374052815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.