Marshall Kamer, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4301047059 Issued in MI

Practice address

1037 Water St
Suite 1
Port Huron, MI 48060-4408

Phone

(810) 984-4194

Fax

(810) 984-4674

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Urology Assoc of Port Huron, P.C.

  • Urology Physician
  • Port Huron, MI
  • NPI 1790705572
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1588684336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 WATER ST",
            "address_2": "SUITE 1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604408",
            "telephone_number": "810-984-4194",
            "fax_number": "810-984-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 WATER ST",
            "address_2": "SUITE 1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604408",
            "telephone_number": "810-984-4194",
            "fax_number": "810-984-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMER",
        "first_name": "MARSHALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301047059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "540G41006",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101560566",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine L Jurn
• Erin Yvette Kain
• Nicklaus Kaiser, LLMSW
• Simon Kaljaj, PHARMD
• Cole David Kamendat
• Jaclyn Kamidoi
• Amy M Kandell, LMSW, LPC, LLP
• Leonard T Karadimas, DO
• Rubina Karim, MD
• Samprit Karra, DO

• Urology Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.