Daniela O Marjanovic, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD12634 Issued in OR

Practice address

2233 W Harvard Ave
Roseburg, OR 97471-2550

Phone

(541) 673-0215

Fax

(641) 673-2864

NPI assigned

Jan 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1184604100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97470",
            "telephone_number": "541-673-0215",
            "fax_number": "541-673-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712550",
            "telephone_number": "541-673-0215",
            "fax_number": "641-673-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARJANOVIC",
        "first_name": "DANIELA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD12634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225227",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda M Manning, P.A.
• Jennifer J Manson, FNP-C
• Angelina C. Marez, CHW
• Michael Marietta, M.D.
• Marilyn Mull L.C.S.W. PC
• Mark R Driver DMD PC
• Karla Markham, PHARMD
• Katherine O'Malley Marks, PHARMD
• Evelyn Kay Marlow, RN
• Heath Marlow

• Family Medicine Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.