Individual provider Active NPI

Marilyn Dianne Marshall, MD

  • Family Medicine Physician
  • Abbeville, LA
National Provider Identifier
1467446161
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.13125R Issued in LA
Practice address
800 Charity St
Abbeville, LA 70510-5239
Phone
(337) 893-3443
NPI assigned
Sep 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.13125R LA Primary

Addresses

Primary practice location

800 Charity St
Abbeville, LA 70510-5239

Mailing address

800 Charity St
Abbeville, LA 70510-5239
Phone (337) 517-6387

Other practice location 1

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6655

Other identifiers 4

IdentifierTypeStateIssuer
5E884OtherLAMEDICARE
P01169073OtherLAMEDICARE RAILROAD PROVIDER NUMBER
1554715MedicaidLA
MD.13125ROtherLASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080627000385 LA Practitioner - Family Practice 6002894482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Comprehensive Community Health Center,Inc.Group PAC ID 6204817828, 35 clinicians
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

1009 Charity St
Abbeville, LA 70510-5302
Phone (337) 893-3443

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone 3373654945112

Hospital & facility affiliations

  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.13125RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince May 5, 2008 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince May 5, 2008 Accepting new patients
Lsuhn Billing LLC Family Medicine CurrentSince May 30, 2016 Accepting new patients
Iberia Comprehensive Community Health Center,Inc. Current Accepting new patients
Lsuhn Billing LLC CurrentSince May 30, 2016 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. Past Accepting new patients

Locations

1009 Charity St
Abbeville, LA 70510
Phone (337) 893-3443

800 Charity St
Abbeville, LA 70510
Phone (337) 893-3443

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1004 Surrey St
Lafayette, LA 70501
Phone (337) 456-6768

1002 12th St
Lafayette, LA 70501
Phone (337) 534-0107

298 Nolan Trce
Leesville, LA 71446
Phone (337) 392-0110

1050 N Robinson St
Many, LA 71449
Phone (318) 256-8150

567 Walker St
Merryville, LA 70653
Phone (337) 365-4945

806 Jefferson Ter
New Iberia, LA 70560
Phone (337) 365-4945

317 Dernier St
Saint Martinville, LA 70582
Phone (337) 342-2566

Interoperability endpoints

  • Direct secure messaging: mmarshall1446383@direct.ochsner.org

Organizations & group practices 6

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467446161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHARITY ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705105239",
            "telephone_number": "337-517-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHARITY ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705105239",
            "telephone_number": "337-893-3443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705064205",
            "country_code": "US",
            "telephone_number": "337-261-6655",
            "fax_number": "337-261-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MARILYN",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.13125R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5E884",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P01169073",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1554715",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD.13125R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.