Marshall Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARSHALL SURGERY CENTER, LLC

Doing business as

Marshall Surgery Center

Practice address

3501 Palmer Dr
Ste 100
Cameron Park, CA 95682-8276

Phone

(530) 676-6120

Fax

(530) 676-6130

NPI assigned

Jun 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Martha Ponce-Fair, RN

Title

Administrator

Phone

(530) 676-6125

Specialties & licenses 1

Addresses

Other names 1

• Marshall Surgery Center Doing business as

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114922549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 PALMER DR",
            "address_2": "STE 100",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828276",
            "telephone_number": "530-676-6120",
            "fax_number": "530-676-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 PALMER DR",
            "address_2": "STE 100",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828276",
            "telephone_number": "530-676-6120",
            "fax_number": "530-676-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONCE-FAIR",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-676-6125",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Medical Center (Marshall Psychiatry)
• Marshall Medical Center (Marshall Medical Specialty Pharmacy)
• Marshall Medical Center (Marshall Speciality Care)
• Marshall Medical Center
• Marshall Medical Center
• Nathaniel Howard Martelle, CMT
• Sara McCarlie, DC
• Kristen McKelvey, PPS
• Alyson L McMillan, MSW, ASW
• Medi Ride Solutions

• Ambulatory Surgical Clinic/Center in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.