Active NPI
Curtis Charles Marder, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marquette, MI
National Provider Identifier
1407892995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 4301051318
- Practice address
- 1414 West Fair Avenue
Suite 342
Marquette, MI 49855 - Phone
- (906) 225-3870
- Fax
- (906) 225-3975
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301051318 | MI | Primary |
Addresses
Primary practice location
1414 West Fair Avenue
Suite 342
Marquette, MI 49855
Mailing address
1414 West Fair Avenue
Suite 342
Marquette, MI 49855
Phone (906) 225-3870
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3305247951 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4503035 | Medicaid | MI | |
| 330006017 | Other | RAILROAD MEDICARE | |
| 34966300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- curtis.marder@mghvi.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1407892995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 WEST FAIR AVENUE",
"address_2": "SUITE 342",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-3870",
"fax_number": "906-225-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 WEST FAIR AVENUE",
"address_2": "SUITE 342",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-3870",
"fax_number": "906-225-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDER",
"first_name": "CURTIS",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301051318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3305247951",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4503035",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "330006017",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34966300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.