NPIMap

Organization Active NPI

Marshall V. Marchbanks, M.D., Medical Corp

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Santa Rosa, CA
National Provider Identifier
1447422043
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C40291 Issued in CA
Legal business name
MARSHALL V. MARCHBANKS, M.D., MEDICAL CORP
Practice address
1701 4TH St
Suite 200
Santa Rosa, CA 95404-3601
Phone
(707) 525-0100
Fax
(707) 525-0838
NPI assigned
Mar 24, 2008
Last updated
Jun 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Marshall V Marchbanks, MD
Title
President
Phone
(707) 525-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C40291 CA Primary

Addresses

Primary practice location

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3601

Mailing address

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3601
Phone (707) 525-0100

National Provider Directory

National Provider Directory
Tax ID family
Marshall V Marchbanks MD Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1447422043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043601",
            "telephone_number": "707-525-0100",
            "fax_number": "707-525-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043601",
            "telephone_number": "707-525-0100",
            "fax_number": "707-525-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL V. MARCHBANKS, M.D., MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "MARCHBANKS",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-525-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C40291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.