Organization Active NPI

Marshall Health Services Inc

  • Internal Medicine Physician
  • Marshall, TX
National Provider Identifier
1265415905
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARSHALL HEALTH SERVICES INC
Practice address
620 S Grove St
Marshall, TX 75670-5295
Phone
(903) 927-6264
Fax
(903) 927-6230
NPI assigned
Nov 28, 2005
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Kristine Glover
Title
Evp/Coo
Phone
(903) 315-5704

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Gastroenterology Physician 207RG0100X NU
Rheumatology Physician 207RR0500X NU
Obstetrics & Gynecology Physician 207V00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Otolaryngology Physician 207Y00000X NU
Pediatrics Physician 208000000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU

Addresses

Primary practice location

620 S Grove St
Marshall, TX 75670-5295

Mailing address

PO Box 1325
Marshall, TX 75671-1325
Phone (903) 927-6733

Other identifiers 1

IdentifierTypeStateIssuer
085137002MedicaidTX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

704 Davis St
Ste 2
Carthage, TX 75633
Phone (903) 315-4160

800 Padon St
Longview, TX 75601
Phone (903) 315-2888

107 Argyle St
Marshall, TX 75670
Phone (903) 927-6151

204 E Crockett St
Marshall, TX 75670
Phone (903) 934-8503

304 S Washington
Marshall, TX 75670
Phone (903) 927-6725

304 University Ave
Ste 202
Marshall, TX 75670
Phone (903) 934-5352

304 University Ave
Ste 212
Marshall, TX 75670
Phone (903) 315-2504

614 S Grove St
Marshall, TX 75670
Phone (903) 927-6240

618 S Grove St
Marshall, TX 75670
Phone (903) 927-6725

618 S Grove St
Ste 300
Marshall, TX 75670
Phone (903) 927-6611

620 S Grove St
Marshall, TX 75670
Phone (903) 927-3782

805 Lindsey Dr
Marshall, TX 75670
Phone (903) 927-6140

815 S Washington Ave
Ste 204
Marshall, TX 75670
Phone (903) 934-5380

815 S Washington Ave
Ste 304
Marshall, TX 75670
Phone (903) 315-2032

1735 Willow Lk
White Oak, TX 75693
Phone (903) 297-5740

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1265415905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711325",
            "telephone_number": "903-927-6733",
            "fax_number": "903-927-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S GROVE ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705295",
            "telephone_number": "903-927-6264",
            "fax_number": "903-927-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "EVP/COO",
        "authorized_official_telephone_number": "903-315-5704"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085137002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.