Active NPI
Deanna Marshall, MD
- Internal Medicine Physician
- Hutchinson, KS
National Provider Identifier
1326019084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0428612
- Practice address
- 2700 E 30TH Ave
Hutchinson, KS 67502 - Phone
- (620) 663-8484
- Fax
- (620) 663-7031
- NPI assigned
- Jan 31, 2006
- Last updated
- Feb 17, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0428612 | KS | Primary |
Addresses
Primary practice location
2700 E 30TH Ave
Hutchinson, KS 67502
Mailing address
2700 E 30TH Ave
Hutchinson, KS 67502
Phone (620) 663-8484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104147 | Other | KS | BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0428612 | KS | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1326019084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "67502",
"telephone_number": "620-663-8484",
"fax_number": "620-663-7031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 30TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "67502",
"telephone_number": "620-663-8484",
"fax_number": "620-663-7031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DEANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "0428612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "104147",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.