Individual provider Active NPI

David Patrick Marmaduke, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
National Provider Identifier
1053372912
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
10192 Issued in NV
Practice address
3059 S Maryland Pkwy Ste 100
Las Vegas, NV 89109-6209
Phone
(702) 732-3441
Fax
(702) 732-2310
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 10192 NV
Hematology (Pathology) Physician 207ZH0000X G86741 CA
Hematology (Pathology) Physician 207ZH0000X 35066478 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 10192 NV Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35066478 OH

Addresses

Primary practice location

3059 S Maryland Pkwy Ste 100
Las Vegas, NV 89109-6209

Mailing address

3059 S Maryland Pkwy Ste 100
Las Vegas, NV 89109-6209
Phone (702) 732-3441

Other identifiers 1

IdentifierTypeStateIssuer
200225022MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080529000169 AZ Practitioner - Pathology 1052494481 Reassigns benefits to 1 organization
I20101115000105 NV Practitioner - Pathology 1052494481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laboratory Medicine Consultants LTDGroup PAC ID 4183617533, 26 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 255-5000

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 731-8000

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4340

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • West Henderson Hospital Hospital, Henderson, NV, CCN 290062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86741CAMDHematology (Pathology) Physician
10192NVMDHematology (Pathology) Physician
35066478OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Medicine Consultants LTD Hematology CurrentSince Jul 1, 2002 Accepting new patients
Laboratory Medicine Consultants LTD CurrentSince Dec 1, 2007 Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

File 749203
Los Angeles, CA 90074

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

Organizations & group practices 2

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

Hospital & facility affiliations 7

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1053372912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 S MARYLAND PKWY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096209",
            "telephone_number": "702-732-3441",
            "fax_number": "702-732-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 S MARYLAND PKWY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096209",
            "telephone_number": "702-732-3441",
            "fax_number": "702-732-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMADUKE",
        "first_name": "DAVID",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NV",
            "license": "10192",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "G86741",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "OH",
            "license": "35066478",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "10192",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35066478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200225022",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.