Active NPI
Mary Christine Marshall, M.D.
- Family Medicine Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MM070680
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080162382 | Other | MI | RAILROAD MR PROVIDER # |
| 0988828 | Other | MA | HEALTHPLUS PROVIDER # |
| 104238722 | Medicaid | MI | |
| 131834 | Other | MI | PREFERRED CHOICES # |
| C7218 | Other | MI | MCARE PROVIDER # |
| 383551198 | Other | MI | TAX ID |
| P11144157 | Other | MI | MULTIPLAN PROVIDER # |
| 0802505112 | Other | MI | BCBS PROVIDER NUMBER |
| P11144157 | Other | MI | HAP 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
Enrollment records 1
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
- Ascension Genesys Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM070680 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Marshall, MD, PC | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1558451724
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Blanc, MI
- NPI 1689729873
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.