Individual provider Active NPI

Jessica Marsh, MD

  • Pediatrics Physician
  • Durango, CO
National Provider Identifier
1134546146
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0058807 Issued in CO
Practice address
810 E 3Rd St Unit 301
Durango, CO 81301-5760
Phone
(970) 375-0100
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0058807 CO Primary

Addresses

Primary practice location

810 E 3Rd St Unit 301
Durango, CO 81301-5760

Mailing address

810 E 3Rd St Unit 301
Durango, CO 81301-5760
Phone (970) 375-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20140916001957 OR Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1355560889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0058807COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners of the Southwest Pediatrics Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Pediatric Partners of the Southwest P.C. Pediatrics Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1134546146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E 3RD ST UNIT 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015760",
            "telephone_number": "970-375-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 3RD ST UNIT 301",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015760",
            "telephone_number": "970-375-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0058807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.