Van L Marcus, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

15509 Issued in NE

Practice address

7831 Wakeley Plaza
Omaha, NE 68114

Phone

(402) 397-6344

Fax

(402) 397-6407

NPI assigned

Aug 19, 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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lincoln Radiology Group PC

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1275587602
  NPD (past)
• Radiologic Center Inc

  • Diagnostic Radiology Physician
  • Omaha, NE
  • NPI 1700802154
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124132592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-397-6344",
            "fax_number": "402-397-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-397-6344",
            "fax_number": "402-397-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "VAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "15509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520981",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Joann Marco, RRT
• Jerry L Marcos
• Cicada Marcott
• Anica R Marcum, PLMHP
• Micheal Jenell Marcus
• Donna Marie Marcuzzo
• Thomas Patrick Marcuzzo, D.C.
• Marissa Lynn Marek
• Mamadi Marena
• Mareng Home Care LLC

• Diagnostic Radiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• 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.