Active NPI
John R Marsh, MD
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1316072150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95-106
- Practice address
- 1515 Eubank Blvd SE
SNL, Ms 1019
Albuquerque, NM 87123-3453 - Phone
- (505) 844-8926
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95-106 | NM | Primary |
Addresses
Primary practice location
1515 Eubank Blvd SE
SNL, Ms 1019
Albuquerque, NM 87123-3453
Mailing address
13416 Indian School Rd NE
Albuquerque, NM 87112-4900
Phone (505) 294-2857
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-106 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316072150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13416 INDIAN SCHOOL RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871124900",
"telephone_number": "505-294-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 EUBANK BLVD SE",
"address_2": "SNL, MS 1019",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871233453",
"telephone_number": "505-844-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "95-106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.