Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael A Marconi, OPA

Individual provider Surgical Physician Assistant · NPI 1073879060

Michael A Marconi, OPA is a Surgical Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

3541 Randolph Rd Ste 210
Charlotte, NC 28211-2886
Phone: (704) 944-0143
Fax: (704) 944-7399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1175 (NC)

Record details

NPI number1073879060
Entity typeIndividual (Type 1)
GenderMale
Credentials OPA
Sole proprietorNo
NPI enumeratedApril 4, 2012
Last updated in NPPESApril 4, 2012

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