Active NPI
Marcus Patrick Anduze
- Private Vehicle
- Fredericksburg, VA
National Provider Identifier
1487213526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- A67346099
- Practice address
- 12006 Marion CT
Fredericksburg, VA 22407-6053 - Phone
- (443) 540-6298
- NPI assigned
- Jun 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | A67346099 | VA | Primary |
Addresses
Primary practice location
12006 Marion CT
Fredericksburg, VA 22407-6053
Mailing address
12006 Marion CT
Fredericksburg, VA 22407-6053
Phone (443) 540-6298
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67346099 | VA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1487213526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12006 MARION CT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076053",
"telephone_number": "443-540-6298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12006 MARION CT",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076053",
"telephone_number": "443-540-6298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDUZE",
"first_name": "MARCUS",
"middle_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "VA",
"license": "A67346099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Stephanie Marie Anderson, D.O.
- Jojo Andoh, LPTA
- Jacquelyn S Andrews Mott
- Janeza Dy-Shea Andrews-Washington
- Katrine Andrews, FNP-BC FNP-C RN
- Anelas Holistic Counseling PLLC
- Anesthesia Physician Solutions of Virginia, LLC
- Angel Rides Inc
- Angel Wings Transportation Service, LLC.
- Angelic Place Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.