Cindy Marek
Individual provider Active NPI Specialist · Goodview, VA
NPI 1487050258 · NPPES record last updated Nov 6, 2014
Key facts
- NPI
- 1487050258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 031000059 (VA)
- Practice address
- 3492 Morgans Mill Rd
Goodview, VA 24095-2820 - Phone
- (540) 521-9493
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031000059 | VA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 031000059 | VA | Yes |
Addresses
Primary practice location
3492 Morgans Mill Rd
Goodview, VA 24095-2820
Mailing address
3492 Morgans Mill Rd
Goodview, VA 24095-2820
Other providers in Goodview, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.