Marion Ray Windham, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C34630 Issued in CA

Practice address

74990 Country Club Dr
Suite 310
Palm Desert, CA 92260-1991

Phone

(760) 341-8800

Fax

(760) 775-4818

NPI assigned

Sep 9, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marionwindham@iemg.allscriptsdirect.net

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.

• Indio Emergency Med Group Inc

  • Emergency Medicine Physician
  • Indio, CA
  • NPI 1326064759
  NPD
• Indio Emergency Medical Group Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Palm Desert, CA
  • NPI 1376766808
  NPD
• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1710325683
  NPD (past)
• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1811319890
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1144214636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD",
            "address_2": "STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015597",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74990 COUNTRY CLUB DR",
            "address_2": "SUITE 310",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601991",
            "telephone_number": "760-341-8800",
            "fax_number": "760-775-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "MARION",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C34630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Jan Williams, MD
• Joanne S Williams, MSW LCSW
• Judith M Williams, LMFT
• Holly C Willow, RN
• Sheila Rabbani Wilson, MD
• Suzonne M Windham, NPF
• Michael Wolfes, CLMT
• Lindsey Wolverton, COTA
• Naomi Wood
• Judith Woodford, CRNA

• General Practice Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.