Active NPI
Marlon B Michel, MD MBA
- Anesthesiology Physician
- Salt Lake City, UT
National Provider Identifier
1578664892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5685713-1205
- Practice address
- 36 E Knightsbridge LN
Salt Lake City, UT 84103-2241 - Phone
- (702) 200-0005
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5685713-1205 | UT | Primary |
| Anesthesiology Physician | 207L00000X | MD00044212 | WA |
Addresses
Primary practice location
36 E Knightsbridge LN
Salt Lake City, UT 84103-2241
Mailing address
36 E Knightsbridge LN
Salt Lake City, UT 84103-2241
Phone (702) 200-0005
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2090168 | Other | UT | UNITED HEALTHCARE |
| QM0000075886 | Other | UT | ALTIUS |
| 1502954 | Other | UT | UMWA |
| 084958 | Medicaid | AZ | |
| 122721100 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5685713-1205 | UT | MD | Anesthesiology Physician |
| MD00044212 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Idaho Surgery Center PLLC | Current | Accepting new patients | |
| Mda PLLC | Anesthesiology | Current | Accepting new patients |
| M2 Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| MD Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Picetti LTD | Anesthesiology | Past | Accepting new patients |
| Mountain West Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| Marlon Michel MD PC | Anesthesiology | Past | Accepting new patients |
| Marlon Michel MD PC | Anesthesiology | Past | Accepting new patients |
Locations
8412 Myers Rd E
Ste 205
Bonney Lake, WA 98391
Phone (206) 605-5933
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Lake Tapps, WA
- NPI 1891011284
-
- Anesthesiology Physician
- Lake Tapps, WA
- NPI 1528383924
-
- Ambulatory Surgical Clinic/Center
- Meridian, ID
- NPI 1396069902
-
- Anesthesiology Physician
- Orem, UT
- NPI 1598908956
-
- Anesthesiology Physician
- Orem, UT
- NPI 1639400815
-
- Anesthesiology Physician
- Bonney Lake, WA
- NPI 1033432562
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Anesthesiology Physician
- Reno, NV
- NPI 1316989742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1578664892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 E KNIGHTSBRIDGE LN",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841032241",
"telephone_number": "702-200-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 E KNIGHTSBRIDGE LN",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841032241",
"telephone_number": "702-200-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "MARLON",
"middle_name": "B",
"credential": "MD MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "5685713-1205",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00044212",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2090168",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000075886",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1502954",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084958",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122721100",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.