Diana K. Marshall, P.A.
Individual provider Active NPI Medical Physician Assistant · Columbus, KS
NPI 1376586891 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1376586891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 15-00487 (KS)
- Practice address
- 101 W Sycamore St
Columbus, KS 66725-1276 - Phone
- (620) 429-3636
- Fax
- (620) 429-1301
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00487 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sjmgroup | Past | Accepting new patients | |
| St. John'S Medical Group | Past | Accepting new patients |
Interoperability endpoints
- dmarshall190106@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-00487 | KS | Yes |
Addresses
Primary practice location
101 W Sycamore St
Columbus, KS 66725-1276
Mailing address
101 W Sycamore St
Columbus, KS 66725-1276
Phone (620) 429-3636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376586891 | Other | KS | BLUE CROSS |
| 100349810H | Medicaid | KS |
Other providers in Columbus, KS
- Jay Hatfield Mobility, LLC
- Jayhatfield Mobility, LLC
- Kansas Medical Supply, Inc.
- Julie J Leblanc
- Rebekah J Manahan
- Megan Mason
- Evan P McNemar
- McPherson Medical & Diagnostic LLC
- McPherson Medical & Diagnostic LLC
- Medicalodges, Inc.
All providers in Columbus, KS · Medical Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.