NPIMap

Organization Active NPI

M Jeffrey Marcus MD Facs PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Inverness, FL
National Provider Identifier
1053460220
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
ME20810 Issued in FL
Legal business name
M JEFFREY MARCUS MD FACS PA
Practice address
821 Medical CT E
Inverness, FL 34452-4623
Phone
(352) 726-3131
Fax
(888) 491-4367
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
M Jeffrey MarcusNPI 1427057397
Title
Medical Physician
Phone
(352) 726-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X ME20810 FL Primary

Addresses

Primary practice location

821 Medical CT E
Inverness, FL 34452-4623

Mailing address

821 Medical CT E
Inverness, FL 34452-4623
Phone (352) 726-3131

Other identifiers 4

IdentifierTypeStateIssuer
44142OtherFLBLUE CROSS
DG0919OtherFLRAILROAD MEDICARE
59200023722OtherFLTAX ID
276145900MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1053460220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 MEDICAL CT E",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524623",
            "telephone_number": "352-726-3131",
            "fax_number": "352-726-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 MEDICAL CT E",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524623",
            "telephone_number": "352-726-3131",
            "fax_number": "888-491-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M JEFFREY MARCUS MD FACS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "MEDICAL PHYSICIAN",
        "authorized_official_telephone_number": "352-726-3131"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME20810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "44142",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG0919",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "59200023722",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276145900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.