Mary Beth Marburger, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

COA.12554-NP Issued in OH

Practice address

4151 Holiday St NW
Canton, OH 44718-2531

Phone

(330) 492-8001

Fax

(330) 492-2080

NPI assigned

Aug 23, 2011

Last updated

Mar 9, 2016By the provider in NPPES

Sex

Female

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Professionals of Holmes County, Inc.Group PAC ID 6002916194, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Professionals of Holmes County, Inc

  dba Pomerene OB/GYN Services

  • Specialist
  • Sugarcreek, OH
  • NPI 1083897060
  Medicare reassignment Care Compare group
• Health Professionals of Holmes County, Inc

  dba Pomerene Medical Group

  • Primary Care Clinic/Center
  • Millersburg, OH
  • NPI 1083897987
  NPD (past)
• Health Professionals of Holmes County, Inc

  • Rural Health Clinic/Center
  • Loudonville, OH
  • NPI 1144827478
  NPD (past)
• Health Professionals of Holmes County, Inc

  • Rural Health Clinic/Center
  • Millersburg, OH
  • NPI 1790215614
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1104106160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-492-8001",
            "fax_number": "330-492-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-492-8001",
            "fax_number": "330-492-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBURGER",
        "first_name": "MARY BETH",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA.12554-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Maple, BCBA
• Maranatha Springs Inc
• Emily Gabrielle Maranville
• Joseph Daniel Marazza
• Marbeck Services LLC
• Marc Glassman Inc (Marcs)
• Marc Glassman Inc (Marcs)
• Marc Glassman Inc (Marcs)
• Marissa Marcelli
• Melissa Marie Marceric, CDCA

• Women's Health Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.