Jeffrey Kenneth Marzian, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00388 Issued in KY

Practice address

3403 Gatecreek Rd
Louisville, KY 40272-2687

Phone

(502) 381-7563

Fax

(513) 858-7827

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Community Health Services IncGroup PAC ID 3870564172, 29 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.marzian.p1@direct.chs.nextgenshare.com

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.

• Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1730284605
  Medicare reassignment Care Compare group NPD
• Healthdrive Podiatry Group, PC

  • Podiatrist
  • Dublin, OH
  • NPI 1689613598

  MA

  Medicare reassignment Care Compare group NPD
• Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, CT
  • NPI 1750632659
  NPD
• Aggeus Healthcare, P.C.

  • Podiatrist
  • Chicago, IL
  • NPI 1033156955
  NPD (past)
• Allen C Guehl DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Springfield, OH
  • NPI 1154503878
  NPD (past)
• Asg Onsite Podiatry of Ia 1 PC

  • Podiatrist
  • Chicago, IL
  • NPI 1598016503
  NPD (past)
• Onhealthcare LLC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1497772255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 GATECREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722687",
            "telephone_number": "502-381-7563",
            "fax_number": "513-858-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 GATECREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722687",
            "telephone_number": "502-381-7563",
            "fax_number": "513-858-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZIAN",
        "first_name": "JEFFREY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100216340",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201073770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryhurst, Inc.
• Maryhurst, Inc.
• Maryhurst, Inc.
• Maryhurst, Inc.
• Maryhurst, Inc.
• Joseph John Mascaro, DMD
• Beth Mascio, M.D.
• Jameelia Masden, LPN
• Troy Andrew Masden, MD
• Regina L Mash, CNM, APRN

• Podiatrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.