Cornelius Marshall, CEO

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

802685169 Issued in MS

Practice address

1720 Yorktowne Drive
Laplace, LA 70068-2812

Phone

(504) 220-8308

NPI assigned

Jan 12, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

• Marion Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • La Place, LA
  • NPI 1598941858
  Authorized official Same address or phone
• Orbit Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Brandon, MS
  • NPI 1376049023
  Authorized official Same address or phone

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1063920908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 YORKTOWNE DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682812",
            "telephone_number": "504-220-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 YORKTOWNE DRIVE",
            "city": "LAPLACE",
            "state": "LA",
            "postal_code": "700682812",
            "telephone_number": "504-220-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CORNELIUS",
        "credential": "CEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "802685169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Padmama Mandhare, MD
• Beverly Mandolph
• Manjit K Wadhwa MD Inc
• Marie's Transportation LLC
• Marion Medical Supply, LLC
• Katrina Martin
• Kendrick Martin, LCSW
• Madison Mascagni, DDS
• Donna Mashia, M.ED.
• Devin Mason Sr., MA

• Non-emergency Medical Transport (VAN) in La Place, LA
• Providers in La Place, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.