Marcelin Medical Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101231381 Issued in VA

Legal business name

MARCELIN MEDICAL CENTER

Practice address

137 Baker Sreet
Emporia, VA 23847

Phone

(434) 336-9811

Fax

(434) 336-0082

NPI assigned

Jul 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fitzgerald Marcelin, MD,FAAP,FACGS

Title

Physcian/Ceo

Phone

(434) 336-9811

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1003838442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BAKER SREET",
            "address_2": "PO BOX 958",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "23847",
            "telephone_number": "434-336-9811",
            "fax_number": "434-336-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BAKER SREET",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "23847",
            "telephone_number": "434-336-9811",
            "fax_number": "434-336-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "MARCELIN",
        "authorized_official_first_name": "FITZGERALD",
        "authorized_official_title_or_position": "PHYSCIAN/CEO",
        "authorized_official_telephone_number": "434-336-9811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FAAP,FACGS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101231381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005861128",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89065FC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Live Behavioral Services LLC
• Lowell H Gilbert OD PC
• Quavanne Jamar Lundy
• Alexandria Lynch
• M&H Transport Company LLC
• Fitzgerald Marcelin Sr., MD
• Mark Rodammer OD PC
• Crystal Mason-Dickens
• Olivia Censera Mason
• MC Transportation LLC

• Medical Specialty Clinic/Center in Emporia, VA
• Providers in Emporia, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.