Active NPI
Marshall M Taitz, DPM
- Podiatrist
- Fall River, MA
National Provider Identifier
1154337541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- MA1574
- Practice address
- 164 Durfee St
Fall River, MA 02720 - Phone
- (508) 674-1400
- Fax
- (508) 673-2146
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MA1574 | MA | Primary |
Addresses
Primary practice location
164 Durfee St
Fall River, MA 02720
Mailing address
164 Durfee St
Fall River, MA 02720
Phone (508) 674-1400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5819 | Other | NEIGHBOR HEALTH PLAN | |
| 7072 | Other | BLUE SHIELD RI | |
| 001574 | Other | TUFTS | |
| 1819138 | Other | CIGNA | |
| 33034 | Other | HARVARD PILGRIM | |
| 402653 | Other | BLUE CHIP | |
| 9778594 | Medicaid | MA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA1574 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1154337541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 DURFEE ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-674-1400",
"fax_number": "508-673-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 DURFEE ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-674-1400",
"fax_number": "508-673-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAITZ",
"first_name": "MARSHALL",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "MA1574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBOR HEALTH PLAN",
"identifier": "5819",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD RI",
"identifier": "7072",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "001574",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1819138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "33034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "402653",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9778594",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.