Basic Information
Provider Information
NPI: 1598183352
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARINO
FirstName: AMY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UPMC HEART AND VASCULAR INSTITUTE
Address2: 3600 MEYRAN AVENUE, FORBES TOWER, SUITE 9055
City: PITTSBURGH
State: PA
PostalCode: 15213
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: HVI MONROEVILLE, 400 OXFORD DR.
Address2: GROUND FLR, SUITE 75
City: MONROEVILLE
State: PA
PostalCode: 15146
CountryCode: US
TelephoneNumber: 4123805030
FaxNumber: 4123805011
Other Information
ProviderEnumerationDate: 03/30/2014
LastUpdateDate: 01/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XMD469720PAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


Home