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MARRA KNEE, HIP, AND SHOULDER CENTER, INC.
NPI 1003218397
Orthopaedic Surgery in Triadelphia, WV

Active since September 18, 2014CLIA 51D2189859 · Waiver
300 WHARTON CIR STE 130, TRIADELPHIA, WV 26059(304) 242-8042(304) 242-8962 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2024, Mar 20, 2023, Jan 14, 2020 (3 updates tracked since 2020).

About Marra Knee, Hip, And Shoulder Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARRA KNEE, HIP, AND SHOULDER CENTER, INC. (NPI 1003218397) is a healthcare organization registered as an orthopaedic surgery in Triadelphia, West Virginia and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through August 5, 2028 and lists Dante A Marra, President, as its authorized official.

NPPES Registry Identity

NPI1003218397
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMKSC INC.
Location Address300 WHARTON CIR STE 130Triadelphia, WV 26059-1539
Mailing Address300 Wharton Cir Ste 130Triadelphia, WV 26059-1539 · (304) 242-8042 · Fax (304) 242-8962
Phone(304) 242-8042
Fax(304) 242-8962
Organization SubpartNo
Authorized OfficialDante A MarraPresident · (304) 242-8042
Enumeration DateSeptember 18, 2014
Last NPPES UpdateApril 5, 20243 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1003218397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WV · 19164
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
300 WHARTON CIR STE 130, Triadelphia, WV 26059
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Other Names 3

Doing Business AsMarra Knee, Hip, And Shoulder Center, Inc.
Doing Business AsMarra Knee And Shoulder Center
Doing Business AsMarra Knee And Shoulder Center, Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, BlueCross BlueShield of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marra Knee, Hip, And Shoulder Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marra Knee, Hip, And Shoulder Center, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dante Marra, MD
Orthopedic Surgery
NPI 1295807725
300 WHARTON CIR STE 130
Triadelphia, WV 26059
(304) 242-8042
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2189859

Mksc, Inc Dba Marra Knee And Shoulder Center, Inc · Triadelphia, WV
Active · expires Aug 5, 2028
CLIA Number51D2189859
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2026
Certificate Expiration DateAugust 5, 2028
Laboratory DirectorPhillip J. Marquart
Laboratory Phone(304) 242-8042
Laboratory LocationMksc, Inc Dba Marra Knee And Shoulder Center, Inc300 Wharton Circle Ste 130, Triadelphia, WV 26059
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mksc Inc.'s NPI number?

The NPI number for Mksc Inc. is 1003218397. It was assigned to this organization in the NPPES registry on September 18, 2014. The provider is doing business as Marra Knee, Hip, And Shoulder Center, Inc., Marra Knee and Shoulder Center and Marra Knee and Shoulder Center, Inc..

Where is Mksc Inc. located?

Mksc Inc. is located at 300 Wharton Cir Ste 130, Triadelphia, WV 26059. The listed phone number is (304) 242-8042.

What is Mksc Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mksc Inc. enrolled in Medicare?

Yes. Mksc Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mksc Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Mksc Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mksc Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2189859) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mksc Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, BlueCross BlueShield of Tennessee, CareSource and Highmark Blue Cross Blue Shield West Virginia and 9 other insurers list Mksc Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mksc Inc. was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.