Individual provider Active NPI

Katherine Mary Marston, D.O.

  • Family Medicine Physician
  • Chesterfield, MI
National Provider Identifier
1013273960
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101019867 Issued in MI
Practice address
32901 23 Mile Road Suite 100
Chesterfield, MI 48047-4032
Phone
(586) 725-8500
Fax
(586) 725-5311
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101019867 MI Primary

Addresses

Primary practice location

32901 23 Mile Road Suite 100
Chesterfield, MI 48047-4032

Mailing address

32901 23 Mile Road Suite 100
Chesterfield, MI 48047-4032
Phone (586) 725-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027000993 MI Practitioner - Family Practice 8123251360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

30795 23 Mile Rd
Suite 201
Chesterfield, MI 48047-5721
Phone (586) 421-1600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101019867MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Henry Ford Physician Partners CurrentSince Dec 1, 2023 Accepting new patients
Alliance Health Professionals, PLLC Current Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Henry Ford Physician Partners Family Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

30795 23 Mile Rd
Ste 201
Chesterfield, MI 48047
Phone (586) 421-1600

30795 23 Mile Rd
Ste 207
Chesterfield, MI 48047
Phone (586) 263-7200

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

Interoperability endpoints

  • Direct secure messaging: kmarston@abcfmc.gwaydirect.com
  • Direct secure messaging: kmarston59299@direct.hfhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1013273960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32901 23 MILE ROAD SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474032",
            "telephone_number": "586-725-8500",
            "fax_number": "586-725-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32901 23 MILE ROAD SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474032",
            "telephone_number": "586-725-8500",
            "fax_number": "586-725-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.