Organization Active NPI

Marshall Tolbert MD Inc

  • Neurological Surgery Physician
  • Anchorage, AK
National Provider Identifier
1508051152
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MARSHALL TOLBERT MD INC
Practice address
3220 Providence Dr Ste E3-020
Anchorage, AK 99508-4653
Phone
(907) 258-6999
Fax
(907) 258-6999
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Marshall E Tolbert, MDNPI 1982614988
Title
President
Phone
(907) 258-6999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

3220 Providence Dr Ste E3-020
Anchorage, AK 99508-4653

Mailing address

3220 Providence Dr Ste E3-020
Anchorage, AK 99508-4653
Phone (907) 258-6999

Other identifiers 1

IdentifierTypeStateIssuer
MD5925MedicaidAK

National Provider Directory

National Provider Directory

Locations

3220 Providence Dr
#3
Anchorage, AK 99508

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1508051152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 PROVIDENCE DR STE E3-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084653",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 PROVIDENCE DR STE E3-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084653",
            "telephone_number": "907-258-6999",
            "fax_number": "907-258-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL TOLBERT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-258-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD5925",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.