Individual provider Active NPI

David John Marzewski, M.D.

  • Neurology Physician
  • Jonesboro, AR
National Provider Identifier
1497993745
Registry record updated Dec 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N-6315 Issued in AR
Practice address
1516 County Road 360
Jonesboro, AR 72401-0166
Phone
(870) 243-5628
NPI assigned
Jan 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X N-6315 AR Primary

Addresses

Primary practice location

1516 County Road 360
Jonesboro, AR 72401-0166

Mailing address

1516 County Road 360
Jonesboro, AR 72401-0166
Phone (870) 243-5628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355529600000",
    "number": "1497993745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COUNTY ROAD 360",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010166",
            "telephone_number": "870-243-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 COUNTY ROAD 360",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010166",
            "telephone_number": "870-243-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZEWSKI",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-24",
        "last_updated": "2012-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "N-6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.