Ethan Zachary Marshall, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

2120 Issued in TX

Practice address

9400 Lakeview Pkwy Ste 121
Rowlett, TX 75088-4401

Phone

(214) 501-4050

Fax

(214) 501-4640

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• First Steps Prosthetics & Orthotics PLLC

  • Durable Medical Equipment & Medical Supplies
  • Rowlett, TX
  • NPI 1770164303

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1609457894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750300315",
            "telephone_number": "214-501-4050",
            "fax_number": "214-501-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 LAKEVIEW PKWY STE 121",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884401",
            "telephone_number": "214-501-4050",
            "fax_number": "214-501-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ETHAN",
        "middle_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "2120",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "2120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Pamela Ignacio Maranca
• Arie Marancenbaum, M.D.
• Damaris Marcial
• Mariah K Surgical Assisting, LLC
• Mark Yeakley MD PA
• Martin Jackson DPM PSC
• Ken Martin, PHARMD
• Jaquelin Martinez Rivera
• Daniel Martinez
• Kristen N Martinez

• Prosthetist in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.