Active NPI
Daniel B Marth, DO
- Student in an Organized Health Care Education/Training Program
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- UO5743
- Practice address
- 5153 N 9TH Ave FL 6
Pensacola, FL 32504-8785 - Phone
- (850) 416-7658
- Fax
- (850) 416-7710
- NPI assigned
- Jun 30, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | UO5743 | FL | Primary |
| Pediatrics Physician | 208000000X | 036-153717 | IL |
Addresses
Primary practice location
5153 N 9TH Ave FL 6
Pensacola, FL 32504-8785
Mailing address
5153 North 9TH Ave
6TH Floor Nemours
Pensacola, FL 32504
Phone (850) 416-7658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-153717 | IL | MD | Pediatrics Physician |
| UO5743 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc | Current | Accepting new patients | |
| Beloved Community Family Wellness Center | Current | Accepting new patients | |
| Beloved Community Family Wellness Center | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc | Current | Accepting new patients | |
| Cook County | Pediatrics | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Florida State University | Past | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
6821 S Halsted St
Chicago, IL 60621
Phone (773) 651-3629
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
326 W 64th St
Ste 205
Chicago, IL 60621
Phone (773) 651-3629
350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666
3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625
129 White Oak St
Utica, MS 39175
Phone (601) 885-6021
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
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.
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1760408439
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1134151442
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Federally Qualified Health Center (FQHC)
- Blue Island, IL
- NPI 1114278009
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1205021946
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1215744396
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Children's Hospital
- Pensacola, FL
- NPI 1821244989
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1326569286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5153 NORTH 9TH AVE",
"address_2": "6TH FLOOR NEMOURS",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32504",
"telephone_number": "850-416-7658",
"fax_number": "850-416-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 N 9TH AVE FL 6",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048785",
"telephone_number": "850-416-7658",
"fax_number": "850-416-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTH",
"first_name": "DANIEL",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-30",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "UO5743",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-153717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.