Individual provider Active NPI

Daniel L. Marier, MD

  • Internal Medicine Physician
  • Pendleton, OR
National Provider Identifier
1528058369
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14200 Issued in OR
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

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10067-7MedicaidRI
1174505044OtherORMEDICARE RAILROAD
1174513873OtherORMEDICARE RAILROAD
1871575720OtherORMEDICARE RAILROAD
1609866458OtherORMEDICARE RAILROAD
1619967460OtherORMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000374 OR Practitioner - Internal MedicinePractitioner - Addiction Medicine 5092842278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
New York University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Washington Health NetworkGroup PAC ID 7113357682, 3 clinicians

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

LicenseStateTypeSpecialty
14200ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Washington Health Network CurrentSince Jun 10, 2022 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.

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

Verify at the official NPI Registry.