Mario Estolano, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35.085260 Issued in OH

Practice address

1106 Colegate Dr Emergency Dept
Marietta, OH 45750-1323

Phone

(740) 562-2000

Fax

(740) 568-2096

NPI assigned

Mar 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in WV

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

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Marietta Memorial Hospital of Tyler County Inc

  dba Sistersville General Hospital

  • Critical Access Hospital
  • Sistersville, WV
  • NPI 1811595192
  Medicare reassignment NPD
• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927

  Emergency Medicine

  NPD
• Marietta Memorial Hospital

  dba Department of Primary Care

  • Rural Health Clinic/Center
  • Woodsfield, OH
  • NPI 1962106328
  NPD
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  NPD
• Selby General Hospital

  dba Department of Primary Care Logan

  • Rural Health Clinic/Center
  • Logan, OH
  • NPI 1710840251
  NPD
• Marietta Memorial Hospital of Tyler County Inc

  dba Journey Hospice

  • Community Based Hospice Care Agency
  • Sistersville, WV
  • NPI 1245839802
  NPD
• Marietta Memorial Hospital of Tyler County Inc

  dba Dept of Primary Care 424

  • Rural Health Clinic/Center
  • Williamstown, WV
  • NPI 1972302388
  NPD
• MHC Physicians Inc

  • Internal Medicine Physician
  • Williamstown, WV
  • NPI 1073600219

  Emergency Medicine

  NPD
• Conemaugh Valley Memorial Hospital

  dba Memorial Medical Center

  • Emergency Medicine Physician
  • Johnstown, PA
  • NPI 1346200920
  NPD (past)
• Ecs of Virginia, Inc.

  • Emergency Medicine Physician
  • Emporia, VA
  • NPI 1821083874
  NPD (past)
• Greenbrier Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ronceverte, WV
  • NPI 1760676407
  NPD (past)
• Sterling Emergency Services of Virginia Inc

  • Emergency Medicine Physician
  • Farmville, VA
  • NPI 1649265604
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1881655546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151010447",
            "telephone_number": "412-487-3556",
            "fax_number": "412-486-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLEGATE DR EMERGENCY DEPT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501323",
            "telephone_number": "740-562-2000",
            "fax_number": "740-568-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 Middle Rd",
            "address_purpose": "LOCATION",
            "city": "Allison Park",
            "state": "PA",
            "postal_code": "151011109",
            "country_code": "US",
            "telephone_number": "412-487-3556",
            "fax_number": "412-486-6605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 S Wells ST Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Sistersville",
            "state": "WV",
            "postal_code": "261751098",
            "country_code": "US",
            "telephone_number": "304-652-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 Farson St Emergency Dept",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141044",
            "country_code": "US",
            "telephone_number": "740-401-1150",
            "fax_number": "740-401-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Matthew St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-376-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTOLANO",
        "first_name": "MARIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD042124E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18489",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.085260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mario.estoloano@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "799 Farson ST Emergency Dept",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "314 S Wells ST Emergency Department",
            "city": "Sistersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261751098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mario.estolano@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1106 Colegate DR Emergency Dept",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirstyn Erwin
• Ashley L. Eschbaugh, PA
• Brittanie Ann Essig
• Alison Marie Estep, DO
• Amanda Estes, DPT
• Adriana Barbara Euser, LPCC-S
• Cecily D Evans
• Eve, Incorporated
• Kimberly Ewing, FNP-BC
• Eye Care Associates of Marietta LLC

• Emergency Medicine Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.