Individual provider Active NPI

Erik David Marker

  • Independent Duty Corpsman
  • San Diego, CA
National Provider Identifier
1013359835
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
License
M626-2048-5059-05 Issued in WI
Practice address
3402 Tarawa Rd
BLDG 19
San Diego, CA 92155-5176
Phone
(619) 437-2558
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X M626-2048-5059-05 WI Primary

Addresses

Primary practice location

3402 Tarawa Rd
BLDG 19
San Diego, CA 92155-5176

Mailing address

W215N10364 Laurel CT
Colgate, WI 53017-9513
Phone (262) 894-8301

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

LicenseStateTypeSpecialty
M626-2048-5059-05WIMDIndependent Duty Corpsman

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1013359835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W215N10364 LAUREL CT",
            "city": "COLGATE",
            "state": "WI",
            "postal_code": "530179513",
            "telephone_number": "262-894-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 TARAWA RD",
            "address_2": "BLDG 19",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555176",
            "telephone_number": "619-437-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKER",
        "first_name": "ERIK",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "WI",
            "license": "M626-2048-5059-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.