Active NPI
James Richard Marshall, D.O.
- Neonatal-Perinatal Medicine Physician
- Lawton, OK
National Provider Identifier
1134186737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2204
- Practice address
- 3811 W Gore Blvd
Ste 6
Lawton, OK 73505-6328 - Phone
- (580) 355-5242
- Fax
- (580) 355-5245
- NPI assigned
- Apr 27, 2006
- Last updated
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 10202A | WY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2204 | OK | Primary |
Addresses
Primary practice location
3811 W Gore Blvd
Ste 6
Lawton, OK 73505-6328
Mailing address
PO Box 2309
Section 2
Lawton, OK 73502-2309
Phone (580) 355-5242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2204 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCF | Past | Accepting new patients |
Interoperability endpoints
- james_r_marshall_-_md@yourcarecommunity.org
Organizations & group practices 1
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": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1134186737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2309",
"address_2": "SECTION 2",
"city": "LAWTON",
"state": "OK",
"postal_code": "735022309",
"telephone_number": "580-355-5242",
"fax_number": "580-355-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 W GORE BLVD",
"address_2": "STE 6",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056328",
"telephone_number": "580-355-5242",
"fax_number": "580-355-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JAMES",
"middle_name": "RICHARD",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WY",
"license": "10202A",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OK",
"license": "2204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.