Todd Steven Marcus, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101013149 Issued in MI

Practice address

29526 6 Mile Rd Ste B
Livonia, MI 48152-4560

Phone

(734) 464-7700

Fax

(734) 953-4259

NPI assigned

Jan 25, 2006

Last updated

Mar 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Todd's Pediatrics, PC

  • Pediatrics Physician
  • Livonia, MI
  • NPI 1336110329
  NPD (past) Authorized official

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1295705051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29526 6 MILE RD STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524560",
            "telephone_number": "734-464-7700",
            "fax_number": "734-953-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29526 6 MILE RD STE B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524560",
            "telephone_number": "734-464-7700",
            "fax_number": "734-953-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "TODD",
        "middle_name": "STEVEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101013149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755130-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria Mar
• Heather Maradei, CCP
• Marissa Ann Marcel
• Jenna Maria Marcopoli
• Rachel B Marcucci, MD
• Marian Village Corporation (Marywood Nursing Care Center/Marybrook Manor)
• Peter Marilley
• Mario a. Tomei DDS PC
• Neha Marion
• Ellen B Mariscal-Torres

• Pediatrics Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.