Organization Active NPI

Daryl S. Marx M.D., L.L.C.

  • Specialist
  • Monroe, LA
National Provider Identifier
1114195658
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.024323 Issued in LA
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

Updated by the provider on Feb 19, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4379459970OtherLABLUE CROSS BLUE SHIELD
1063462695OtherINDIVIDUAL NPI
1570192MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.