Organization Active NPI

Berge Marcarian, M.D., P.a.

  • Otolaryngology Physician
  • Lake City, FL
National Provider Identifier
1851456560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME71870 Issued in FL
Legal business name
BERGE MARCARIAN, M.D., P.A.
Practice address
4551 W US Highway 90
Suite 101
Lake City, FL 32055-4879
Phone
(386) 719-9993
Fax
(386) 719-4744
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Berge Marcarian, M.D.NPI 1184789893
Title
President
Phone
(386) 719-9993

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X ME71870 FL Primary

Addresses

Primary practice location

4551 W US Highway 90
Suite 101
Lake City, FL 32055-4879

Mailing address

PO Box 1359
Lake City, FL 32056-1359
Phone (386) 719-9993

National Provider Directory

National Provider Directory

Locations

4551 W US Highway 90
Ste 101
Lake City, FL 32055
Phone (386) 719-9993

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851456560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320561359",
            "telephone_number": "386-719-9993",
            "fax_number": "386-719-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 W US HIGHWAY 90",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554879",
            "telephone_number": "386-719-9993",
            "fax_number": "386-719-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGE MARCARIAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCARIAN",
        "authorized_official_first_name": "BERGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-719-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME71870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.