Terry Kevyn Marmon II, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4521 Issued in KY

Practice address

606-A Bloomfield Rd
Bardstown, KY 40004

Phone

(502) 350-3700

Fax

(502) 350-3701

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Practitioners 1

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

• Jared Alan Yates, DC

  • Chiropractor
  • Bardstown, KY
  • NPI 1205342912
  Medicare reassignment

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.

• Bluegrass Chiropractic Center LLC

  • Chiropractor
  • Bardstown, KY
  • NPI 1801960042
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1598850380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606-A BLOOMFIELD RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-350-3700",
            "fax_number": "502-350-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606-A BLOOMFIELD RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-350-3700",
            "fax_number": "502-350-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMON",
        "first_name": "TERRY",
        "middle_name": "KEVYN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001931",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1155747",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raza Ali Malik, M.D.
• Kasey Lynn Manning, OD
• Katy Leanne Marcum, APRN
• Mark a Abramovich MD
• Mark a. Abramovich, MD
• Marosian Medical, PLLC
• Jessica Marshall, D.O.
• Ashlynn Elaine Masterson
• Jessica Ann Masterson, MCMHC, LPCC
• Laura Ross Matherly, ARNP

• Chiropractor in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.