Marden Medical, PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

DO0000001214 Issued in TN

Legal business name

MARDEN MEDICAL, PLLC

Practice address

1 Medical Park Blvd
Suite 205E
Bristol, TN 37620-7430

Phone

(423) 844-5640

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David W Marden, D.O.NPI 1699778605

Title

Doctor

Phone

(423) 844-5640

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Gynecology & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David W. Marden, DO

  • Obstetrics & Gynecology Physician
  • Bristol, TN
  • NPI 1699778605
  Medicare reassignment NPD Authorized official
• Karen Carver, NP-C

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1083016844
  Medicare reassignment NPD
• Blakeley Madison Lewis, FNP-BC

  • Family Nurse Practitioner
  • Glade Spring, VA
  • NPI 1952821506

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1386978062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "address_2": "SUITE 205E",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "address_2": "SUITE 205E",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDEN MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "MARDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "423-844-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "DO0000001214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386978062",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516542",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Gynecology & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ealon James Mann, DO
• Elyse Suzanne Mann
• Holly M Mantooth, PHARMD
• Billy Joe Manuel, NCC LPC
• Kitzi Denise Manuel, BS
• David W. Marden, DO
• Mary Kathleen Marquette, M.D.
• Amanda Rae Marshall, NP
• Nora Elizabeth Marshall, MS, CF-SLP
• Frederick A Martin, MD

• Gynecology Physician in Bristol, TN
• Providers in Bristol, TN by specialty
• Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.