Hogan Nicklaus Marshall, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT005644 Issued in OH

Practice address

7118 Mount Royal Ave
Westerville, OH 43082

Phone

(614) 797-6800

NPI assigned

Jan 26, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1366940132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SCARLET OAK DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450502520",
            "telephone_number": "513-335-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 MOUNT ROYAL AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43082",
            "telephone_number": "614-797-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Scarlet Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "OH",
            "postal_code": "450502520",
            "country_code": "US",
            "telephone_number": "513-335-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "HOGAN",
        "middle_name": "NICKLAUS",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTPTAT LICENSURE BOARD",
            "identifier": "AT005644",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION",
            "identifier": "2000031812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Markward
• Akeeyla Marlowe
• Sandra E Marmaduke, DPT
• Lorrie M Marra, RN, BSN
• Angela R Marshall, LSW
• Jeffrey T. Marshall, DO
• Jordan T Marshall, DDS
• Mathew J Marshall, DPT
• Mollie Marshall, BHIA
• Anna Martin, MD

• Athletic Trainer in Westerville, OH
• Providers in Westerville, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; 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.