Tim Daniel Marsho, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

52955 Issued in WI

Practice address

8651 W North Ave
Wauwatosa, WI 53226-2721

Phone

(414) 774-9200

Fax

(414) 774-9031

NPI assigned

Jun 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Tosa Pediatrics SC

  • Pediatrics Physician
  • Wauwatosa, WI
  • NPI 1588621536
  NPD (past)

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1316107196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262721",
            "telephone_number": "414-774-9200",
            "fax_number": "414-774-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8651 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262721",
            "telephone_number": "414-774-9200",
            "fax_number": "414-774-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHO",
        "first_name": "TIM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036121303",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "52955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markerry Enterprises LLC
• Markerry Enterprises LLC
• Zarina Markova, MD
• Sarah Marowski-Richmond, MD
• Keely Marshall, M.D.
• Cindy L Marti, P.T.
• Martin Men'S Medical Clinic of Wisconsin
• Bethany Liann Martin
• Jennifer Catherine Martin, MT-BC
• John Martin, M.D.

• Pediatrics Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.