Individual provider Active NPI

Paul Anthony Marino, FNP-BC

  • Family Nurse Practitioner
  • Follansbee, WV
National Provider Identifier
1982093019
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN75952-FNP-BC Issued in WV
Practice address
138 Rockdale Rd
Follansbee, WV 26037-1658
Phone
(304) 527-1747
NPI assigned
Jan 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.16843 OH
Family Nurse Practitioner 363LF0000X APRN75952-FNP-BC WV Primary

Addresses

Primary practice location

138 Rockdale Rd
Follansbee, WV 26037-1658

Mailing address

169 Locust LN
Follansbee, WV 26037-1623
Phone (304) 794-6586

Other practice location 1

1800 Franklin St
Toronto, OH 43964-1949
Phone (740) 537-3898

Other practice location 2

148 Main St
Wintersville, OH 43953-3734
Phone (740) 346-2702

Other practice location 3

15655 State Route 170 Ste B
East Liverpool, OH 43920-9672
Phone (330) 932-0909

Other identifiers 1

IdentifierTypeStateIssuer
0120584MedicaidOH

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150310000800 WV Practitioner - Nurse Practitioner 6002131208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

971 Main St
Follansbee, WV 26037-1449
Phone (304) 479-4229

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.16843OHMDFamily Nurse Practitioner
APRN75952-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City Family Medicine 2 LLC Current Accepting new patients
City Family Medicine Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

971 Main St
Follansbee, WV 26037
Phone (304) 527-0150

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1982093019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LOCUST LN",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371623",
            "telephone_number": "304-794-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ROCKDALE RD",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "260371658",
            "telephone_number": "304-527-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Toronto",
            "state": "OH",
            "postal_code": "439641949",
            "country_code": "US",
            "telephone_number": "740-537-3898",
            "fax_number": "740-537-3956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Main St",
            "address_purpose": "LOCATION",
            "city": "Wintersville",
            "state": "OH",
            "postal_code": "439533734",
            "country_code": "US",
            "telephone_number": "740-346-2702",
            "fax_number": "740-346-2645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15655 State Route 170 Ste B",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209672",
            "country_code": "US",
            "telephone_number": "330-932-0909",
            "fax_number": "330-932-0769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINO",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.16843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN75952-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Follansbee, WV

Sources for this page

Verify at the official NPI Registry.