David E Marcus

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G054206 Issued in CA

Practice address

1128 Sonoma Ave
Santa Rosa, CA 95405-4806

Phone

(707) 575-1626

Fax

(707) 575-3941

NPI assigned

Jul 12, 2006

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)

Enrolled

State licenses

Practice roles

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.

• Women'S OBGYN

  • Obstetrics & Gynecology Physician
  • Santa Rosa, CA
  • NPI 1316439979
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083639090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2491 INCLINE DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054806",
            "telephone_number": "707-575-1626",
            "fax_number": "707-575-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G054206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unknown Mar Kaw Shu Wa, FNP
• Samantha Marbut, APRN, NP-C
• Renee Marie Marchant
• Luis Antonio Marcos Hardman
• Carrie Marcotte, PT
• Valerie R Marder, PHARMD
• Marek Michal Lorenc, M.D.
• Kasia Marelich, D.M.D
• Paul Margarit
• Eric Joseph Margolis, M.D.

• Plastic Surgery Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.