Active NPI
Marc S D'Angelo, M.D.
- Neurology Physician
- Wilmington, NC
National Provider Identifier
1962432716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 26317
- Practice address
- 6632 River Rd
Wilmington, NC 28412-3012 - Phone
- (843) 319-5979
- Fax
- (910) 791-6799
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 14157 | SC | |
| Neurology Physician | 2084N0400X | 26317 | KY | Primary |
Addresses
Primary practice location
6632 River Rd
Wilmington, NC 28412-3012
Mailing address
6632 River Rd
Wilmington, NC 28412-3012
Phone (843) 319-5979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100352770 | Medicaid | KY | |
| 0112511 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14157 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Regional Medical Center | Past | Accepting new patients | |
| Florence Neurological Clinic, PA | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1962432716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6632 RIVER RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123012",
"telephone_number": "843-319-5979",
"fax_number": "910-791-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6632 RIVER RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284123012",
"telephone_number": "843-319-5979",
"fax_number": "910-791-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'ANGELO",
"first_name": "MARC",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "14157",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "26317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100352770",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112511",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.