Organization Active NPI

Donald R. Marram, a Podiatry Corporation

  • Foot & Ankle Surgery Podiatrist
  • Tracy, CA
National Provider Identifier
1568650620
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E1218 Issued in CA
Legal business name
DONALD R. MARRAM, A PODIATRY CORPORATION
Practice address
1542 N Tracy Blvd
Tracy, CA 95376-2903
Phone
(209) 835-4276
Fax
(209) 835-1017
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Dr. Donald R. Marram, D.P.M.
Title
Doctor of Podiatric Medicine
Phone
(209) 835-4276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E1218 CA Primary

Addresses

Primary practice location

1542 N Tracy Blvd
Tracy, CA 95376-2903

Mailing address

1542 N Tracy Blvd
Tracy, CA 95376-2903
Phone (209) 835-4276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1568650620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "209-835-4276",
            "fax_number": "209-835-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762903",
            "telephone_number": "209-835-4276",
            "fax_number": "209-835-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R. MARRAM, A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MARRAM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "209-835-4276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.