MEDICAL SPECIALISTS PA – NPI #1013108992
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

MEDICAL SPECIALISTS PA is a provider located in PALM COAST, FL. NPPES has assigned the NPI number 1013108992 to MEDICAL SPECIALISTS PA on August 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL SPECIALISTS PA” is a dba name, the actual legal business name for this organization is S S MARATHE MD PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 18 years ago on Jun 19, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL SPECIALISTS PA below.

NPI Profile for
S S MARATHE MD PA

NPI Number
1013108992
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
S S MARATHE MD PA
Doing Business As (dba): MEDICAL SPECIALISTS PA
Primary location
4869 PALM COAST PKWY NW
SUITE 2
PALM COAST, FL 32137-3661
Phone: (386) 445-2003 Fax:
Mailing address
665 STATE ROAD 207
SUITE 102
ST AUGUSTINE, FL 32084-5938
Phone: (904) 824-8158 Fax:
Organization Subpart
No
Authorized Official
SHRIRAM MARATHE
PRESIDENT
Phone: (904) 824-8158
Updated
Identifiers

Identifiers for MEDICAL SPECIALISTS PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL250270401
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
207RP1001X
- Internal Medicine / Pulmonary Disease
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.