Individual provider Active NPI

Louis M Marmon, MD

  • Pediatric Surgery Physician
  • Hershey, PA
National Provider Identifier
1134107956
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD027246E Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(800) 243-1455
Fax
(717) 531-4970
NPI assigned
Jan 3, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 0101046226 VA
Pediatric Surgery Physician 2086S0120X 41229 MD
Pediatric Surgery Physician 2086S0120X 72094 TN
Pediatric Surgery Physician 2086S0120X MD027246E PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

9715 Medical Center Dr
Suite 300
Rockville, MD 20850-3320
Phone (301) 762-2424

Other practice location 1

1204 W Main St
Charlottesville, VA 22903-2824
Phone (434) 924-2673

Other practice location 2

9715 Medical Center Dr
Suite 300
Rockville, MD 20850-3320
Phone (301) 762-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200812000351 VA Practitioner - General SurgeryPractitioner - Pediatric Medicine 5799739405 Reassigns benefits to 2 organizations
I20241009000035 TN Practitioner - Pediatric MedicinePractitioner - General Surgery 5799739405 Reassigns benefits to 1 organization
I20251204000267 KS Practitioner - General Surgery 5799739405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41229MDMDPediatric Surgery Physician
MD027246EPAMDPediatric Surgery Physician
72094TNMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince May 19, 2023 Accepting new patients
Carilion Medical Center CurrentSince Aug 17, 2020 Accepting new patients
Womens and Childrens Specialists, LLC CurrentSince Oct 19, 2025 Accepting new patients
Pediatric Specialty Clinic, LLC CurrentSince Sep 11, 2025 Accepting new patients
Carilion Medical Center CurrentSince Aug 17, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12200 W 106th St
Ste 210
Overland Park, KS 66215
Phone (913) 327-1117

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2221 Murphy Ave
Nashville, TN 37203
Phone (615) 327-7681

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

330 23rd Ave N
Ste 350
Nashville, TN 37203
Phone (615) 272-2300

1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

102 Highland Ave SE
Ste 404
Roanoke, VA 24013
Phone (540) 985-9812

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Interoperability endpoints

  • Direct secure messaging: louis.marmon@hca1.eclinicaldirectplus.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1134107956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503320",
            "telephone_number": "301-762-2424",
            "fax_number": "301-340-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 W Main St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229032824",
            "country_code": "US",
            "telephone_number": "434-924-2673",
            "fax_number": "434-924-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9715 Medical Center Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503320",
            "country_code": "US",
            "telephone_number": "301-762-2424",
            "fax_number": "301-340-6792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARMON",
        "first_name": "LOUIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "VA",
            "license": "0101046226",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MD",
            "license": "41229",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TN",
            "license": "72094",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD027246E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.