Individual provider Active NPI

Mary Christine Marshall, M.D.

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1245320589
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MM070680 Issued in MI
Practice address
8195 S Saginaw St
Grand Blanc, MI 48439-1885
Phone
(810) 695-2210
Fax
(810) 695-9530
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MM070680 MI Primary

Addresses

Primary practice location

8195 S Saginaw St
Grand Blanc, MI 48439-1885

Mailing address

8195 S Saginaw St
Grand Blanc, MI 48439-1885
Phone (810) 695-2210

Other identifiers 9

IdentifierTypeStateIssuer
080162382OtherMIRAILROAD MR PROVIDER #
0988828OtherMAHEALTHPLUS PROVIDER #
104238722MedicaidMI
131834OtherMIPREFERRED CHOICES #
C7218OtherMIMCARE PROVIDER #
383551198OtherMITAX ID
P11144157OtherMIMULTIPLAN PROVIDER #
0802505112OtherMIBCBS PROVIDER NUMBER
P11144157OtherMIHAP PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000015 MI Practitioner - Family Practice 7113910670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9400 S Saginaw Rd
Suite C
Grand Blanc, MI 48439-9666
Phone (810) 695-2210

Hospital & facility affiliations

  • Absolute Home Health Care Home health agency, Grand Blanc, MI, CCN 237732
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MM070680MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Marshall, MD, PC Family Medicine CurrentSince Jul 1, 2000 Accepting new patients

Locations

445 N Fenway Dr
Fenton, MI 48430
Phone (810) 616-7246

8195 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 695-1078

9400 S Saginaw Rd
Ste C
Grand Blanc, MI 48439
Phone (810) 695-2210

Interoperability endpoints

  • Direct secure messaging: mmarshall1140266@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1245320589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391885",
            "telephone_number": "810-695-2210",
            "fax_number": "810-695-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391885",
            "telephone_number": "810-695-2210",
            "fax_number": "810-695-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "MM070680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MR PROVIDER #",
            "identifier": "080162382",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS PROVIDER #",
            "identifier": "0988828",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104238722",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES #",
            "identifier": "131834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PROVIDER #",
            "identifier": "C7218",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383551198",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN PROVIDER #",
            "identifier": "P11144157",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0802505112",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP PROVIDER NUMBER",
            "identifier": "P11144157",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.