Individual provider Active NPI

Elizabeth Anne Marshall, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Albany, NY
National Provider Identifier
1427210541
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
267924 Issued in NY
Practice address
319 S Manning Blvd Ste 206
Albany, NY 12208-1743
Phone
(518) 525-8501
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA09872800 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 267924 NY Primary

Addresses

Primary practice location

319 S Manning Blvd Ste 206
Albany, NY 12208-1743

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

100 Madison Ave
Suite 4101
Morristown, NJ 07960-6136
Phone (973) 644-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140908000074 NY Practitioner - Critical Care (Intensivists)Practitioner - Thoracic Surgery 5597983460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Thoracic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2231 Burdett Ave
Suite 230
Troy, NY 12180-2447
Phone (518) 272-7191

319 S Manning Blvd
Suite 206
Albany, NY 12208-1743
Phone (518) 525-8501

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09872800NJMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
267924NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Jan 13, 2024 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Sep 10, 2018 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Sep 10, 2018 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients
St. Peter's Hospital of the City of Albany Past Accepting new patients

Locations

319 S Manning Blvd
Ste 206
Albany, NY 12208
Phone (518) 438-6226

1201 Nott St
Schenectady, NY 12308
Phone (518) 374-3123

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2231 Burdett Ave
Ste 230
Troy, NY 12180
Phone (518) 271-5527

Interoperability endpoints

  • Direct secure messaging: emarshall789347@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1427210541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 206",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-525-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_2": "Suite 4101",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-644-4844",
            "fax_number": "973-644-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA09872800",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "267924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.