Active NPI
Randy Leroy Marx
- Hearing Instrument Specialist
- Marshall, MN
National Provider Identifier
1013298686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2612
- Practice address
- 1401 Nwakama St Ste 100
Marshall, MN 56258-5530 - Phone
- (507) 337-4500
- Fax
- (507) 337-4502
- NPI assigned
- Sep 8, 2011
- Last updated
- Jun 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2612 | MN | Primary |
Addresses
Primary practice location
1401 Nwakama St Ste 100
Marshall, MN 56258-5530
Mailing address
1401 Nwakama St Ste 100
Marshall, MN 56258-5530
Phone (507) 337-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2612 | MN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1013298686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 NWAKAMA ST STE 100",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562585530",
"telephone_number": "507-337-4500",
"fax_number": "507-337-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 NWAKAMA ST STE 100",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562585530",
"telephone_number": "507-337-4500",
"fax_number": "507-337-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "RANDY",
"middle_name": "LEROY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MN",
"license": "2612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.