Jack M Markusfeld, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28569 Issued in CO

Practice address

2544 Raywood VW Apt 1237
Colorado Springs, CO 80920-7785

Phone

(719) 251-9693

NPI assigned

Jan 13, 2006

Last updated

Nov 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417305600000",
    "number": "1356320766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 RAYWOOD VW APT 1237",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207785",
            "telephone_number": "719-251-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 RAYWOOD VW APT 1237",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207785",
            "telephone_number": "719-251-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKUSFELD",
        "first_name": "JACK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2014-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "28569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenni L Markham, DPT
• Whitney Markie, NP-C
• Stephanie Ruth Markle, DPT
• Vincent D Markovitz, DDS
• Maurice Markus, M.D.
• Loraine Poe Marlatt, LPC
• Albert Lenard Marle, M.D.
• Cammie Marler, PT, DPT
• Peter Marlin, MD
• Stacie Marlow-Badgett

• Internal Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; 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.

Verify at the official NPI Registry.