Active NPI
Erik David Marker
- Independent Duty Corpsman
- San Diego, CA
National Provider Identifier
1013359835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- License
- M626-2048-5059-05
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M626-2048-5059-05 | WI | MD | Independent 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.