Individual provider Active NPI

Ray M Marling, M.D.

  • Cardiovascular Disease Physician
  • Chipley, FL
National Provider Identifier
1306959986
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME62599 Issued in FL
Practice address
1376 Brickyard Rd Ste 4
NFCH Cardiology Specialty Clinic
Chipley, FL 32428-6392
Phone
(850) 638-9980
Fax
(850) 638-9912
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME62599 FL
Cardiovascular Disease Physician 207RC0000X ME62599 FL Primary

Addresses

Primary practice location

1376 Brickyard Rd Ste 4
NFCH Cardiology Specialty Clinic
Chipley, FL 32428-6392

Mailing address

1376 Brickyard Rd Ste 4
NFCH Cardiology Specialty Clinic
Chipley, FL 32428-6392
Phone (850) 638-9980

Other identifiers 3

IdentifierTypeStateIssuer
010810200MedicaidFL
445054OtherFLSTAYWELL WELLCARE
75008135OtherFLPRESTIGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15565ALMDPharmacist
ME62599FLMDCardiovascular Disease Physician
1536SDMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
QHG of Enterprise Inc Past Accepting new patients
The Health Care Authority of the City of Anniston Cardiovascular Disease Past Accepting new patients
Medical Associates LTD Specialist Past Accepting new patients
Northwest Florida Primary Care LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1306959986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 BRICKYARD RD STE 4",
            "address_2": "NFCH CARDIOLOGY SPECIALTY CLINIC",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286392",
            "telephone_number": "850-638-9980",
            "fax_number": "850-638-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 BRICKYARD RD STE 4",
            "address_2": "NFCH CARDIOLOGY SPECIALTY CLINIC",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286392",
            "telephone_number": "850-638-9980",
            "fax_number": "850-638-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLING",
        "first_name": "RAY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME62599",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME62599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010810200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL WELLCARE",
            "identifier": "445054",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESTIGE",
            "identifier": "75008135",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.