Jerry L. Marsh, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

146613 Issued in NC

Practice address

2404 Emma Grace LN
Rock Hill, SC 29732-7657

Phone

(704) 705-0973

NPI assigned

Jan 13, 2014

Sex

Male

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

State licenses

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1205258092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 EMMA GRACE LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327657",
            "telephone_number": "704-705-0973",
            "fax_number": "925-401-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 EMMA GRACE LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327657",
            "telephone_number": "704-705-0973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9926 Orchard Grass Ct",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282787849",
            "country_code": "US",
            "telephone_number": "704-705-0973",
            "fax_number": "925-401-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "JERRY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NC",
            "license": "146613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246ZC0007X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark G. Kimble, D.C. PA
• Mark Klopenstine P.C.
• Sherri Hammersmith Marlow
• Lynda Michelle Marovich, MSN, APRN, FNP-C
• Heather Alicia Marquis, RN
• Cheyenne Ashley Marshall, FNP-BC
• Shombee Monique Marshall, MS, LPC, NCC
• Breanna Leigh Martin, FNP-C
• Cameron Isaac Martin
• Christian McKenzie Martin, FNP-C

• Surgical Assistant in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Surgical Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.