NPIMap

Organization Active NPI

Stephen R Marano MD PC

  • Neurological Surgery Physician
  • Idaho Falls, ID
National Provider Identifier
1992834089
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M5076 Issued in ID
Legal business name
STEPHEN R MARANO MD PC
Practice address
2375 E Sunnyside Rd
Ste F
Idaho Falls, ID 83404-7579
Phone
(208) 522-6930
Fax
(208) 523-5342
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Stephen R Marano, MD
Title
MD
Phone
(208) 522-6930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X M5076 ID Primary

Addresses

Primary practice location

2375 E Sunnyside Rd
Ste F
Idaho Falls, ID 83404-7579

Mailing address

2375 E Sunnyside Rd
Ste F
Idaho Falls, ID 83404-7579
Phone (208) 522-6930

Other identifiers 4

IdentifierTypeStateIssuer
185584800OtherASC
57489OtherIDBLUE CROSS
000060000MedicaidID
000010002012OtherIDBLUE SHIELD

Other names 1

  • Eastern Idaho Neurological Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1992834089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E SUNNYSIDE RD",
            "address_2": "STE F",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047579",
            "telephone_number": "208-522-6930",
            "fax_number": "208-523-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E SUNNYSIDE RD",
            "address_2": "STE F",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047579",
            "telephone_number": "208-522-6930",
            "fax_number": "208-523-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R MARANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MARANO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "208-522-6930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "ID",
            "license": "M5076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC",
            "identifier": "185584800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "57489",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010002012",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Idaho Neurological Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.