Active NPI
Louis M Marmon, MD
- Pediatric Surgery Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- MD027246E
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41229 | MD | MD | Pediatric Surgery Physician |
| MD027246E | PA | MD | Pediatric Surgery Physician |
| 72094 | TN | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Womens and Childrens Specialists, LLC | Current | Accepting new patients | |
| Pediatric Specialty Clinic, LLC | Current | Accepting new patients | |
| Carilion Medical Center | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Pediatrics Physician
- Overland Park, KS
- NPI 1699922203
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Pediatrics Physician
- Nashville, TN
- NPI 1689914756
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.