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MARASCALCO DERMATOLOGY CLINIC
NPI 1457577074
Specialist in Grenada, MS

Active since April 18, 2007
1300 SUNSET DR, SUITE A, GRENADA, MS 38901(662) 227-4463(662) 226-5257 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marascalco Dermatology Clinic NPPES

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

MARASCALCO DERMATOLOGY CLINIC (NPI 1457577074) is a healthcare organization registered as a specialist in Grenada, Mississippi and active in the NPI registry since April 2007. The organization lists John A Marascalco, President, as its authorized official.

NPPES Registry Identity

NPI1457577074
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJOHN A MARASCALCO, MD, PA
Location Address1300 SUNSET DR, SUITE AGrenada, MS 38901-4086
Mailing Address1300 Sunset Dr, Suite AGrenada, MS 38901-4086 · (662) 227-4463 · Fax (662) 226-5257
Phone(662) 227-4463
Fax(662) 226-5257
Organization SubpartNo
Authorized OfficialJohn A MarascalcoPresident · (662) 227-4463
Enumeration DateApril 18, 2007
Last NPPES UpdateJune 18, 2008
✔ NPI 1457577074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
1300 SUNSET DR, Grenada, MS 38901
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Other Names 1

Doing Business AsMarascalco Dermatology Clinic

Other Identifiers 2

Medicare PINDB8986MS
Medicare PINC00963MS

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAL S. RIDDELL D.O.
Family Medicine
1300 SUNSET DR, SUITE B
GRENADA, MS 38901
Grenada County (662) 226-6430
W. BOYD MASSEY, M.D., P.A.
Otolaryngology
1300 SUNSET DR, SUITE R
GRENADA, MS 38901
Grenada County (662) 227-1695
DR. JOHN EDWARD SEIBEL JR. MD
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, STE W
GRENADA, MS 38901
Grenada County (901) 767-3123
GEORGE M MILLER JR MD PC
Surgery
1300 SUNSET DR, SUITE R
GRENADA, MS 38901
Grenada County (662) 226-7540
LATIA MONANETTE BUTTS CFNP
Nurse Practitioner
1300 SUNSET DR, STE Q
GRENADA, MS 38901
Grenada County (662) 294-9101
GRENADA DIAGNOSTIC RADIOLOGY
Clinic/Center
1300 SUNSET DR, SUITE U
GRENADA, MS 38901
Grenada County (662) 226-9279
MR. CHARLES EDWARD HILL II B.S.PHYSICAL THERAPY
Physical Therapist
1300 SUNSET DR, STE G
GRENADA, MS 38901
Grenada County (662) 227-9748
GRENADA CARDIOLOGY LLC
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, SUITE W
GRENADA, MS 38901
Grenada County (662) 227-9991

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 John A Marascalco, MD, PA's NPI number?

The NPI number for John A Marascalco, MD, PA is 1457577074. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Marascalco Dermatology Clinic.

Where is John A Marascalco, MD, PA located?

John A Marascalco, MD, PA is located at 1300 Sunset Dr Suite A, Grenada, MS 38901. The listed phone number is (662) 227-4463.

What is John A Marascalco, MD, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John A Marascalco, MD, PA was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.