Organization Active NPI

James C. Marshall, D.O.,F.a.C.C., P.a.

  • Cardiovascular Disease Physician
  • Largo, FL
National Provider Identifier
1083743165
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS6394 Issued in FL
Legal business name
JAMES C. MARSHALL, D.O.,F.A.C.C., P.A.
Practice address
12600 Seminole Blvd
Suite a-3
Largo, FL 33778-2201
Phone
(727) 585-3610
Fax
(727) 585-4405
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
James Clifford Marshall, D.O.
Title
Owner
Phone
(727) 585-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X OS6394 FL Primary

Addresses

Primary practice location

12600 Seminole Blvd
Suite a-3
Largo, FL 33778-2201

Mailing address

PO Box 4577
Seminole, FL 33775-4577
Phone (727) 585-3610

Other identifiers 1

IdentifierTypeStateIssuer
371465900MedicaidFL

National Provider Directory

National Provider Directory

Locations

12600 Seminole Blvd
Largo, FL 33778
Phone (727) 585-3610

12600 Seminole Blvd
Ste A3
Largo, FL 33778
Phone (727) 585-3610

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1083743165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4577",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337754577",
            "telephone_number": "727-585-3610",
            "fax_number": "727-585-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SEMINOLE BLVD",
            "address_2": "SUITE A-3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782201",
            "telephone_number": "727-585-3610",
            "fax_number": "727-585-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C. MARSHALL, D.O.,F.A.C.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-585-3610",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS6394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371465900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.