Tiffany Marum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

3612 Shannon Rd
Suite 105
Durham, NC 27707-6329

Phone

(919) 419-0242

Fax

(919) 401-4172

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Family Practice

Education

University of Florida College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Durham Family Medicine, PLLCGroup PAC ID 5294792248, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DFCAAA/Endpoint/DFCAAA
• FHIR API: https://fhir4.healow.com/fhir/r4/DFCAAA
• Direct secure messaging: tiffany.marum@swdfm.eclinicaldirectplus.com

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.

• Southwest Durham Family Medicine, PLLC

  • Family Medicine Physician
  • Durham, NC
  • NPI 1295706133
  Medicare reassignment Care Compare group NPD Authorized official
• Southpoint Family Medicine, PLLC

  • Family Medicine Physician
  • Durham, NC
  • NPI 1306378005
  NPD

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548466204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 THACKERY PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075023",
            "telephone_number": "919-403-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 SHANNON RD",
            "address_2": "SUITE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076329",
            "telephone_number": "919-419-0242",
            "fax_number": "919-401-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUM",
        "first_name": "TIFFANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail L Martino, M.S., C.G.C
• Justin Martino
• Carolyn Martonffy
• Alec Daniel Martschenko, PHARMD
• Michelle Martwick, NP-C
• Emily Belle Marun Herize, MD
• Sheeva Marvdashti, MHS, PA-C
• Matthew Gibson Marvell, NP
• Christine Elizabeth Marx, MD
• Mary C. Gaddis, DDS

• Family Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.