Dorina Mirela Marshall, MD, PHD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101259036 Issued in VA

Practice address

5502 Backlick Rd
Springfield, VA 22151

Phone

(703) 642-8306

NPI assigned

Dec 14, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAEFBA/Endpoint/FAEFBA

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.

• Burke Healthcare Solutions, LLC

  • Internal Medicine Physician
  • Burke, VA
  • NPI 1487341251

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1144559634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22151",
            "telephone_number": "703-642-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DORINA",
        "middle_name": "MIRELA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101259036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lauren Mannella, BCBA, LBA
• Mark a. Winkler, DDS & Neil H. Charaipotra, DDS, PC
• Mark D. Livaditis, O.D.
• Bruce William Markoff, DDS
• Julie Marks, LCSW
• Laura Anne Marshall, MOT, OTR/L
• Davongah Martin-Lewis
• Rayna Martin
• Nicole Martinez
• Soraya Martinez, OTD

• Pediatrics Physician in Springfield, VA
• Providers in Springfield, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.