ANDREW VICTOR MARINICH NPI 1407554066

NPI Information

NPI: 1407554066
Provider Name: ANDREW VICTOR MARINICH
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2401 W BELVEDERE AVE
BALTIMORE, MD
ZIP 21215
Phone: (410) 601-2663
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Andrew Victor Marinich is a surgical physician assistant in Baltimore, MD with 1 years of experience. Andrew Victor Marinich NPI is 1407554066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2401 W BELVEDERE AVE
BALTIMORE, MD
ZIP 21215-216
Phone: (410) 601-2663

The NPI 1407554066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2023 and was last updated on 8/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	363AS0400X	Physician Assistant	Surgical	C09018	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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