Marion Surgical Associates, Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MARION SURGICAL ASSOCIATES, INC

Practice address

1708 Locust Ave Ste 102
Fairmont, WV 26554-1332

Phone

(304) 366-0346

NPI assigned

Mar 9, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David M McLellan, MDNPI 1235257973

Title

President

Phone

(304) 363-5799

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 5

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.

• Charles Edward Frank, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fairmont, WV
  • NPI 1477757540
  Medicare reassignment NPD
• David Montgomery McLellan, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fairmont, WV
  • NPI 1235257973
  Authorized official Same address or phone
• Radhika Mehendru, MD

  • Psychiatry Physician
  • Hartford, CT
  • NPI 1790991123
  NPD (past)
• Raveen Mehendru, M.D.

  • Geriatric Psychiatry Physician
  • Hartford, CT
  • NPI 1174565253
  NPD (past)
• Sasa Periskic, M.D.

  • Interventional Pain Medicine Physician
  • Melrose, MA
  • NPI 1447253976
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073645826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 LOCUST AVE STE 102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541332",
            "telephone_number": "304-366-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LOCUST AVE STE 102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541332",
            "telephone_number": "304-366-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCLELLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-363-5799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008918000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion County Senior Citizens, Inc.
• Marion County Senior Citizens, Inc.
• Marion Lung Clinic
• Marion Medical Associates Inc.
• Marion Moreland LLC (Trinitas A Part of Integrated Hearts)
• Market Street Dental Studio
• Kendra Dawn Markley
• Vanessa Maria Markley
• Christine Marks
• Merry Marks

• Vascular Surgery Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Vascular Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.