Individual provider Active NPI

Michael John Marvinny, DO

  • Hospitalist Physician
  • Ashland, OR
National Provider Identifier
1164468534
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
O-1352 Issued in ID
Practice address
280 Maple St
Ashland, OR 97520-1552
Phone
(541) 201-4000
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X O-1352 ID Primary
Internal Medicine Physician 207R00000X DO26701 OR

Addresses

Primary practice location

280 Maple St
Ashland, OR 97520-1552

Mailing address

280 Maple St
Ashland, OR 97520-1552
Phone (541) 201-4000

Other identifiers 8

IdentifierTypeStateIssuer
136209OtherORMEDICARE-TYPE UNSPECIFIED
P00400668OtherORRAIL ROAD MEDICARE
005953MedicaidOR
844477040OtherORBCBS-GRANTS PASS
838366032OtherORBCBS-MCMINNVILLE
858464039OtherORBCBS-SPRINGFIELD
838334034OtherORBCBS-ROSEBURG
858463034OtherORBCBS-MEDFORD

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Virginia, PC Internal Medicine Past Accepting new patients
Apogee Medical Group North Carolina Hospitalist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gye8653@yourcarecommunity.org
  • Direct secure messaging: mmarvinny627440@direct.multicare.org

Organizations & group practices 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1164468534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAPLE ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201552",
            "telephone_number": "541-201-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAPLE ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201552",
            "telephone_number": "541-201-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVINNY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "O-1352",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO26701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-TYPE UNSPECIFIED",
            "identifier": "136209",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00400668",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005953",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-GRANTS PASS",
            "identifier": "844477040",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MCMINNVILLE",
            "identifier": "838366032",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-SPRINGFIELD",
            "identifier": "858464039",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ROSEBURG",
            "identifier": "838334034",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MEDFORD",
            "identifier": "858463034",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.