Organization Active NPI

Marquis Healthcare, Inc.

  • Prosthetic/Orthotic Supplier
  • Canton, OH
National Provider Identifier
1285639989
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARQUIS HEALTHCARE, INC.
Practice address
4051 Whipple Ave NW
Ste. a
Canton, OH 44718-2977
Phone
(330) 491-0550
Fax
(800) 860-8832
NPI assigned
Jun 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mr. Richard Scott Worstell
Title
Owner/Ceo
Phone
(330) 491-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4051 Whipple Ave NW
Ste. a
Canton, OH 44718-2977

Mailing address

4051 Whipple Ave NW
Ste. a
Canton, OH 44718-2977
Phone (330) 491-0550

Other identifiers 1

IdentifierTypeStateIssuer
2152736MedicaidOH

National Provider Directory

National Provider Directory

Locations

4051 Whipple Ave NW
Ste A
Canton, OH 44718
Phone (330) 491-0550

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1285639989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 WHIPPLE AVE NW",
            "address_2": "STE. A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182977",
            "telephone_number": "330-491-0550",
            "fax_number": "800-860-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 WHIPPLE AVE NW",
            "address_2": "STE. A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182977",
            "telephone_number": "330-491-0550",
            "fax_number": "800-860-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "WORSTELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "330-491-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152736",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.