Active NPI
Daniel L. Marier, MD
- Internal Medicine Physician
- Pendleton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14200
- Practice address
- 1100 Southgate
Suite #2
Pendleton, OR 97801-3974 - Phone
- (541) 276-1911
- Fax
- (541) 276-3577
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14200 | OR | Primary |
Addresses
Primary practice location
1100 Southgate
Suite #2
Pendleton, OR 97801-3974
Mailing address
1100 Southgate
Suite #2
Pendleton, OR 97801-3974
Phone (541) 276-1911
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10067-7 | Medicaid | RI | |
| 1174505044 | Other | OR | MEDICARE RAILROAD |
| 1174513873 | Other | OR | MEDICARE RAILROAD |
| 1871575720 | Other | OR | MEDICARE RAILROAD |
| 1609866458 | Other | OR | MEDICARE RAILROAD |
| 1619967460 | Other | OR | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 SE Hailey Ave
Suite 204
Pendleton, OR 97801-3072
Phone (541) 663-4104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14200 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Washington Health Network | Current | Accepting new patients | |
| Pendleton Internal Medicine Specialists PC | Internal Medicine | Current | Accepting new patients |
Locations
715 SW Dorion Ave
Pendleton, OR 97801
Phone (541) 429-8800
1100 Southgate
Ste 2
Pendleton, OR 97801
Phone (541) 215-1564
200 SE Hailey Ave
Ste 204
Pendleton, OR 97801
Phone (541) 663-4104
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.
-
- Health Service Clinic/Center
- Pendleton, OR
- NPI 1356971493
-
- Internal Medicine Physician
- Pendleton, OR
- NPI 1912997750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1528058369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SOUTHGATE",
"address_2": "SUITE #2",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013974",
"telephone_number": "541-276-1911",
"fax_number": "541-276-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SOUTHGATE",
"address_2": "SUITE #2",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013974",
"telephone_number": "541-276-1911",
"fax_number": "541-276-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIER",
"first_name": "DANIEL",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "14200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10067-7",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1174505044",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1174513873",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1871575720",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1609866458",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "1619967460",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.