Provider Demographics
NPI:1245902931
Name:ROKITSKA, MARIANA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:MARIANA
Middle Name:
Last Name:ROKITSKA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9207 PLEASANT LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7623
Mailing Address - Country:US
Mailing Address - Phone:216-554-1900
Mailing Address - Fax:
Practice Address - Street 1:25501 CHAGRIN BLVD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5603
Practice Address - Country:US
Practice Address - Phone:844-746-8537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027895208200000X, 207X00000X
OHRN.412936208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery