David Rodney Marshall, CPED

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PED151 Issued in FL

Practice address

585 State Road 13
Suite 100
Fruit Cove, FL 32259-3175

Phone

(904) 230-8229

Fax

(904) 230-8219

NPI assigned

Dec 24, 2007

Sex

Male

Sole proprietor

Yes

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.

• DSM Management Corporation of Northeast Florida Inc

  • Prosthetic/Orthotic Supplier
  • Fruit Cove, FL
  • NPI 1922269984
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2008.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1497939573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STATE ROAD 13 NORTH",
            "address_2": "#100",
            "city": "FRUIT COVE",
            "state": "FL",
            "postal_code": "322593175",
            "telephone_number": "904-230-8229",
            "fax_number": "904-230-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STATE ROAD 13",
            "address_2": "SUITE 100",
            "city": "FRUIT COVE",
            "state": "FL",
            "postal_code": "322593175",
            "telephone_number": "904-230-8229",
            "fax_number": "904-230-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DAVID",
        "middle_name": "RODNEY",
        "name_prefix": "Mr.",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PED151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hni Ambulatory Services of Florida, LLC
• Homelife Personal Care
• Impact Chiropractic LLC
• Franchescka Kephart
• Jennifer Marcoux
• Kiera Miller, PT, DPT
• Sayward Brett Minter, LPN
• Carol Elizabeth Neumann
• Ross Quinn Osborn, M.D.
• Ped-E-Care

• All providers in Fruit Cove, FL
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.