Robert Edward Marsico Sr., M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35.025085 Issued in OH

Practice address

5783 Wooster Pike
Medina, OH 44256-8816

Phone

(330) 725-0569

Fax

(330) 662-0258

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 and National Provider Directory roles.

• HMT Dermatology Associates Inc

  • Dermatology Physician
  • Medina, OH
  • NPI 1457326514
  Medicare reassignment NPD
• Blue Ridge Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Arrington, VA
  • NPI 1518945187
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1952304560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5783 WOOSTER PIKE",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568816",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Center Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442122324",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 E Milltown Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446911276",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5779 Wooster Pike",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442568816",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Weatherstone Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442817833",
            "country_code": "US",
            "telephone_number": "330-725-0569",
            "fax_number": "330-662-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSICO",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OH",
            "license": "35.025085",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.025085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001125",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A Markley, LISW
• Carin Marks
• Angela Marotta
• Angela Marshall
• Karin Marsick
• Richard Martell-Floyd
• Jana Martin-Ailoae
• Amanda Danielle Martin, DDS
• Amber L Martin, LSW
• Caley Martin

• Dermatology Physician in Medina, OH
• Providers in Medina, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.