Isaiah Gershon Marder, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008167 Issued in GA

Practice address

608 Moreland Ave NE
Atlanta, GA 30307-1425

Phone

(404) 687-2382

Fax

(404) 687-2384

NPI assigned

Oct 24, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Atlanta Chiropractic & Wellness Center

  • Chiropractor
  • Atlanta, GA
  • NPI 1114344850
  NPD (past) Authorized official
• Atlanta Spine Wellness Center LLC

  • Preferred Provider Organization
  • Atlanta, GA
  • NPI 1952680928
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1396924528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MORELAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071425",
            "telephone_number": "404-687-2382",
            "fax_number": "404-687-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MORELAND AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071425",
            "telephone_number": "404-687-2382",
            "fax_number": "404-687-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDER",
        "first_name": "ISAIAH",
        "middle_name": "GERSHON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Marcus, LCSW
• Robert Martin Marcus, M.D.
• Sally J Marcus
• Seth Benjamin Marcus, M.D.
• Allyson Marcy, PT, DPT, OCS
• Sara Marder, M.D.
• Charles Gregory Mardis, M.D.
• Janie Mardis, LMSW
• Holly Rochelle Marecheau, LMFT
• Joseph Mareno Jr., M.D.

• Chiropractor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.