JOHN A MARASCALCO, MD, PA (NPI# 1457577074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457577074 |
| Entity Type | Organization |
| Organization Name | JOHN A MARASCALCO, MD, PA |
| Other Organization Name | MARASCALCO DERMATOLOGY CLINIC |
| Practice Address |
1300 Sunset Dr Suite A Grenada MS 38901-4086 |
| Practice Telephone | 6622274463 |
| Practice Fax Number | 6622265257 |
| Mailing Telephone | 6622274463 |
| Mailing Fax Number | 6622265257 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | JOHN A MARASCALCO (PRESIDENT) |
| Authorized Official Telephone | 6622274463 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| MARASCALCO DERMATOLOGY CLINIC | Doing Business As Name - Organization |
| Street Address |
1300 SUNSET DR SUITE A |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613210 | Mal S. Riddell | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2005-07-19 |
| 1235482340 | Grenada Cardiology LLC | Internal Medicine | 1300 Sunset Dr, Suite W, Grenada, MS 38901-4086 | 2012-10-26 |
| 1649550708 | Teresa Kaye Pickle | Nurse Practitioner | 1300 Sunset Dr, Ste A, Grenada, MS 38901-4081 | 2011-08-22 |
| 1164731931 | Latia Monanette Butts | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2010-09-28 |
| 1962634170 | Mal S Riddell, D.o. Clinic | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2009-08-20 |
| 1245462282 | Ralph T Cain | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2009-08-10 |
| 1902045735 | Grenada Diagnostic Sleep Center, LLC | Clinic/Center | 1300 Sunset Dr, Suite E, Grenada, MS 38901-4086 | 2009-02-18 |
| 1225200280 | Charles Edward Hill II | Physical Therapist | 1300 Sunset Dr, Ste G, Grenada, MS 38901-4086 | 2008-03-31 |
| 1578735791 | Alwin Max Juchheim IIi, Dpm | Podiatrist | 1300 Sunset Dr, Suite P, Grenada, MS 38901-4086 | 2008-03-27 |
| 1700983855 | Kathy Allen | Hearing Instrument Specialist | 1300 Sunset Dr, Suite V, Grenada, MS 38901-4086 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902919756 | Karen W Plunkett | Specialist | 1300 Sunset Dr Ste O, Grenada, MS 38901-4086 | 2006-08-16 |
| 1518972462 | Family Cancer Center, Pllc | Specialist | 1350 Sunset Dr, Suite B, Grenada, MS 38901-4079 | 2006-07-29 |
| 1891912226 | Joseph S Messina Jr Md | Specialist | 1300 Sunset Drive, Suite A, Grenada, MS 38901 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407407273 | Holly Wilson | Specialist | 100 Hospital St Ste 300, Booneville, MS 38829-3354 | 2019-09-24 |
| 1255893434 | Natasha Wilson | Specialist | 959 Memorial Blvd, Picayune, MS 39466-4635 | 2019-04-05 |
| 1669933396 | Doneshia Brown | Specialist | 1436 Saint Andrews Ln, Starkville, MS 39759-1613 | 2019-03-26 |
| 1770061442 | Elizabeth Newcomb | Specialist | 102 N Cass St Ste B, Corinth, MS 38834-5729 | 2018-08-03 |
| 1396271565 | Karlisha Britton | Specialist | 7 Lakeland Circle, Suite 300, Jackson, MS 39216 | 2017-05-10 |
| 1306386784 | Donna Neal | Specialist | 2113 Government St Ste K2, Ocean Springs, MS 39564-3949 | 2017-03-03 |
| 1790227627 | Mississippi Center for Advanced Medicine, PC | Specialist | 7731 Old Canton Rd, Suite B, Madison, MS 39110-6114 | 2016-11-09 |
| 1366993321 | D Balder Md Pllc | Specialist | 15190 Community Rd Ste 210, Gulfport, MS 39503-3483 | 2016-10-14 |
| 1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
| 1114476389 | Physician Practice of Madison, PC | Specialist | 1111 N Frontage Rd Fl 2, Vicksburg, MS 39180-5102 | 2016-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.