Organization Active NPI

Robert J Marshall

  • Procedural Dermatology Physician
  • Richland, WA
National Provider Identifier
1598848665
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
ROBERT J MARSHALL
Practice address
925 Stevens Dr
Suite 3-C
Richland, WA 99352-3523
Phone
(509) 946-0400
Fax
(509) 946-1685
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Robert J Marshall, M.D.
Title
Physician
Phone
(509) 946-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X Primary

Addresses

Primary practice location

925 Stevens Dr
Suite 3-C
Richland, WA 99352-3523

Mailing address

925 Stevens Dr
Suite 3-C
Richland, WA 99352-3523
Phone (509) 946-0400

National Provider Directory

National Provider Directory

Locations

925 Stevens Dr
Ste 3C
Richland, WA 99352
Phone (509) 946-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1598848665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 STEVENS DR",
            "address_2": "SUITE 3-C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523523",
            "telephone_number": "509-946-0400",
            "fax_number": "509-946-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 STEVENS DR",
            "address_2": "SUITE 3-C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523523",
            "telephone_number": "509-946-0400",
            "fax_number": "509-946-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-946-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.