James Michael Marquardt, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

29772 Issued in MN

Practice address

3585 Lexington Avenue North
Suite 350
Shoreview, MN 55126-8056

Phone

(651) 484-3942

Fax

(651) 787-0519

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114007705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVENUE NORTH",
            "address_2": "SUITE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268056",
            "telephone_number": "651-251-5280",
            "fax_number": "651-251-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 LEXINGTON AVENUE NORTH",
            "address_2": "SUITE 350",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268056",
            "telephone_number": "651-484-3942",
            "fax_number": "651-787-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MN",
            "license": "29772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08280700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanne Mairs, LICSW
• Soumontha Manikham
• Robert Mantia, MA, LPCC
• Marek Chiropractic, LLC
• Lori Lynn Marek, D.C.
• Jackson Marten, DC
• Mary E. Sanders
• Stephanie Frances Masek, DC
• Wendy Marion Nelms McCabe, MD
• Jason McEwen, LMFT

• Pediatric Adolescent Medicine Physician in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Pediatric Adolescent Medicine Physician in Minnesota

• 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.