Individual provider Active NPI

John Ryan Marlin, M.D.

  • Family Medicine Physician
  • Delta, CO
National Provider Identifier
1598846370
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44832 Issued in CO
Practice address
555 Meeker St
Delta, CO 81416-1920
Phone
(970) 874-5777
NPI assigned
Oct 18, 2006
Last updated
Dec 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44832 CO Primary

Addresses

Primary practice location

555 Meeker St
Delta, CO 81416-1920

Mailing address

555 Meeker St
Delta, CO 81416-1920
Phone (970) 874-5777

Other identifiers 1

IdentifierTypeStateIssuer
26839237MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20090203000400 CO Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1456415637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Oregon Health Sciences University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Practice addresses (Care Compare)

1450 Burgess St
Delta, CO 81416-2849
Phone (970) 874-7668

255 S Grand Mesa Dr
Cedaredge Family Medicine
Cedaredge, CO 81413-3822
Phone (970) 856-4111

296 Stafford LN
Delta, CO 81416-2243
Phone (970) 399-2635

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Delta County Memorial Hospital Current Accepting new patients
Delta County Memorial Hospital CurrentSince Oct 1, 2014 Accepting new patients
Delta County Memorial Hospital Past Accepting new patients
Delta County Memorial Hospital Family Medicine Past Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

296 Stafford Ln
Delta, CO 81416
Phone (970) 874-4399

296 Stafford Ln
Ste B
Delta, CO 81416
Phone (970) 874-4427

555 Meeker St
Delta, CO 81416
Phone (970) 201-1467

230 Hotchkiss Ave
Hotchkiss, CO 81419
Phone (970) 872-1400

Interoperability endpoints

  • Direct secure messaging: john.marlin.1@12539.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1598846370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MEEKER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161920",
            "telephone_number": "970-874-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MEEKER ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161920",
            "telephone_number": "970-874-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "JOHN",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26839237",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.