Active NPI
Daryl S. Marx M.D., L.L.C.
- Specialist
- Monroe, LA
National Provider Identifier
1114195658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD.024323
- Legal business name
- DARYL S. MARX M.D., L.L.C.
- Practice address
- 3418 Medical Park Dr
Suite 1
Monroe, LA 71203-2376 - Phone
- (318) 398-9709
- Fax
- (318) 398-9711
- NPI assigned
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daryl S. Marx, M.D.
- Title
- Owner
- Phone
- (318) 398-9709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD.024323 | LA | Primary |
Addresses
Primary practice location
3418 Medical Park Dr
Suite 1
Monroe, LA 71203-2376
Mailing address
3418 Medical Park Dr
Suite 1
Monroe, LA 71203-2376
Phone (318) 398-9709
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4379459970 | Other | LA | BLUE CROSS BLUE SHIELD |
| 1063462695 | Other | INDIVIDUAL NPI | |
| 1570192 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
3418 Medical Park Dr
Ste 1
Monroe, LA 71203
Phone (318) 398-9709
2301 Justice St
Monroe, LA 71201
Phone (318) 398-9709
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Marksville, LA
- NPI 1932253804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1114195658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 MEDICAL PARK DR",
"address_2": "SUITE 1",
"city": "MONROE",
"state": "LA",
"postal_code": "712032376",
"telephone_number": "318-398-9709",
"fax_number": "318-398-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3418 MEDICAL PARK DR",
"address_2": "SUITE 1",
"city": "MONROE",
"state": "LA",
"postal_code": "712032376",
"telephone_number": "318-398-9709",
"fax_number": "318-398-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARYL S. MARX M.D., L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "MARX",
"authorized_official_first_name": "DARYL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-398-9709",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "MD.024323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4379459970",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1063462695",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1570192",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.