Marshall Claude Wareham, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35-05-0634-W Issued in OH

Practice address

5250 Far Hills Ave
Suite 207
Dayton, OH 45429-2382

Phone

(937) 433-2300

Fax

(937) 433-0210

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Loma Linda University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Eye Physicians and Surgeons IncGroup PAC ID 3870526338, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_alliedeyeps

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allied Eye Physicians & Surgeons Inc

  • Optometrist
  • Dayton, OH
  • NPI 1326173964

  Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• Cei Physicians PSC LLC

  • Ophthalmology Physician
  • Edgewood, KY
  • NPI 1033108592
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1114925112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "SUITE 207",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-433-2300",
            "fax_number": "937-433-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FAR HILLS AVE",
            "address_2": "SUITE 207",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292382",
            "telephone_number": "937-433-2300",
            "fax_number": "937-433-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAREHAM",
        "first_name": "MARSHALL",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-05-0634-W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311026469027",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0770134",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180011133",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE VISION",
            "identifier": "22364",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000189353",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Ward, RPH, PHARMD, BCPP
• Stacey Ward, FNP-BC
• Stephen Dennis Ward, MD
• Tiara Ward
• Demetria Ware
• Deborah Denise Warfield
• India D Warfield
• Janeece R Warfield, PSYD
• Harold Gary Warman, OTR/L
• Dustin Logan Warne, APRN

• Ophthalmology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.