Active NPI
Robert David Marcus, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Columbus, GA
National Provider Identifier
1609959725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 14840
- Practice address
- 8065 Innisbrook CT
Columbus, GA 31909-2088 - Phone
- (706) 565-0155
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 14840 | GA | Primary |
Addresses
Primary practice location
8065 Innisbrook CT
Columbus, GA 31909-2088
Mailing address
8065 Innisbrook CT
Columbus, GA 31909-2088
Phone (706) 565-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14840 | GA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Past | Accepting new patients | |
| Dhew Indian Health Service Health Services & Mental Health Adm. | Past | Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
Organizations & group practices 3
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.
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
-
dba Salt River DME's
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1730255639
-
dba Gila Bend Clinic Dental Services
- Dentist
- Gila Bend, AZ
- NPI 1780730549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609959725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8065 INNISBROOK CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092088",
"telephone_number": "706-565-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8065 INNISBROOK CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092088",
"telephone_number": "706-565-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "ROBERT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "GA",
"license": "14840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.