Marshall M Trabout, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

147937 Issued in NY

Practice address

18 Wells Rd
Aurora, NY 13026

Phone

(315) 364-3388

Fax

(315) 364-5254

NPI assigned

Jan 11, 2006

Last updated

May 12, 2008By the provider in NPPES

Sex

Male

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 NY

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

Internal Medicine

Education

State University of New York at Stony Brook, School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cayuga Counseling Services IncGroup PAC ID 5890734537, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cayuga Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, NY
  • NPI 1194874610
  Medicare reassignment Care Compare group NPD
• Cayuga Counseling Services

  • Community/Behavioral Health Agency
  • Auburn, NY
  • NPI 1003978826
  NPD
• Familycare Medical Group PC

  dba FCMG- Community Medical Center

  • Non-Pharmacy Dispensing Site
  • Aurora, NY
  • NPI 1417375759
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1558340331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WELLS RD",
            "city": "AURORA",
            "state": "NY",
            "postal_code": "13026",
            "telephone_number": "315-364-3388",
            "fax_number": "315-364-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABOUT",
        "first_name": "MARSHALL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "147937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Bridget Marshall
• Deborah Ann Pickering, MS, ATC
• Colleen C Saxton, NP
• Southern Cayuga Central School District
• Kimberly M Stevens, OTR/L
• Jennifer Vanetten, OTR/L
• Cindy Yale

• Internal Medicine Physician in Aurora, NY
• Providers in Aurora, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.