Organization Active NPI

Gerard a Marroquin MD PLLC

Doing business as Marroquin Health and Wellness

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1235907890
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GERARD A MARROQUIN MD PLLC
Doing business as
Marroquin Health and Wellness
Practice address
7003 Woodway Dr Ste 306
Waco, TX 76712-6163
Phone
(254) 717-6636
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Dr. Gerard A Marroquin, MDNPI 1932173044
Title
Physician/ President
Phone
(254) 717-6636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7003 Woodway Dr Ste 306
Waco, TX 76712-6163

Mailing address

7003 Woodway Dr Ste 306
Waco, TX 76712-6163
Phone (254) 717-6636

Other names 1

  • Marroquin Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219000708 TX Part B Supplier - Clinic/Group Practice 1759725773 Receives reassigned benefits from 1 practitioner
Practice locations: Woodway, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2296953Marroquin Health and Wellness7003 Woodway Dr. Ste 306, Woodway, TX 76712Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

Locations

7003 Woodway Dr
Ste 306
Woodway, TX 76712
Phone (254) 224-8050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1235907890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR STE 306",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126163",
            "telephone_number": "254-717-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR STE 306",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126163",
            "telephone_number": "254-717-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD A MARROQUIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "MARROQUIN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/ PRESIDENT",
        "authorized_official_telephone_number": "254-717-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marroquin Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.