Donald Nilan Marquardt, PHD, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

162396-1205 Issued in UT

Practice address

267 N Main St
Moab, UT 84532-2342

Phone

(435) 259-5276

Fax

(435) 259-5277

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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 and National Provider Directory roles.

• Nes Washington, Inc.

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1215239595
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1295717759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N MAIN ST",
            "address_2": "MOAB IMMEDIATE CARE AND XRAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322342",
            "telephone_number": "435-259-5276",
            "fax_number": "435-259-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N MAIN ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322342",
            "telephone_number": "435-259-5276",
            "fax_number": "435-259-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "DONALD",
        "middle_name": "NILAN",
        "name_prefix": "Dr.",
        "credential": "PHD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "25816",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00028844",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "162396-1205",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Maison, LSAC
• Kenneth Malas, MD
• Robert Steven Marcus, M.D.
• Lacie Markland
• Marquardt Professional Corporation
• Quincy C Masur
• Robin Denise McGann
• Makayla Meeks
• Merrill M Hugentobler DDS PC
• Rachael Metzler, MOT, OTR/L

• Family Medicine Physician in Moab, UT
• Providers in Moab, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.