Organization Active NPI

Marquis Mobility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, OH
National Provider Identifier
1013901941
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARQUIS MOBILITY, INC.
Practice address
4051 Whipple Ave NW
Ste E
Canton, OH 44718-2977
Phone
(330) 497-5373
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Mr. Richard Steven Worstell
Title
Owner, Ceo
Phone
(330) 497-5373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4051 Whipple Ave NW
Ste E
Canton, OH 44718-2977

Mailing address

4051 Whipple Ave NW
Ste E
Canton, OH 44718-2977
Phone (330) 497-5373

Other identifiers 1

IdentifierTypeStateIssuer
2142167MedicaidOH

National Provider Directory

National Provider Directory

Locations

4051 Whipple Ave NW
Ste E
Canton, OH 44718
Phone (330) 497-5373

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1013901941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 WHIPPLE AVE NW",
            "address_2": "STE E",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182977",
            "telephone_number": "330-497-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 WHIPPLE AVE NW",
            "address_2": "STE E",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182977",
            "telephone_number": "330-497-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "WORSTELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "330-497-5373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142167",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.