Individual provider Active NPI

Deirdre Margaret Marshall, M.D. ,F.A.C.S., FAAP

  • Plastic and Reconstructive Surgery Physician
  • Miami, FL
National Provider Identifier
1508880733
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME0064150 Issued in FL
Practice address
6360 Sunset Dr
Miami, FL 33143-4836
Phone
(305) 663-5790
Fax
(305) 663-3790
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME0064150 FL Primary

Addresses

Primary practice location

6360 Sunset Dr
Miami, FL 33143-4836

Mailing address

6360 Sunset Dr
Miami, FL 33143-4836
Phone (305) 663-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000614 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Maxillofacial Surgery 9931151230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery, Maxillofacial Surgery
Education
Stanford University School of Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6360 Sunset Dr
South Miami, FL 33143-4836
Phone (305) 663-5790

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064150FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deirdre M. Marshall, MD., PA Plastic and Reconstructive Surgery CurrentSince Jul 21, 2013 Accepting new patients
Sacre Coeur Surgical PL PastSince Jan 1, 2009 Accepting new patients

Locations

6360 Sunset Dr
South Miami, FL 33143
Phone (305) 663-5790

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1508880733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434836",
            "telephone_number": "305-663-5790",
            "fax_number": "305-663-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 SUNSET DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434836",
            "telephone_number": "305-663-5790",
            "fax_number": "305-663-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DEIRDRE",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.D. ,F.A.C.S., FAAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME0064150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.