Carl W Marquess Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21501 Issued in KY

Practice address

1750 Broadway St
Paducah, KY 42001-2706

Phone

(270) 442-2744

Fax

(270) 443-5956

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: cmarquess.keca@direct.ocuhub.com

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1619973062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7451",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027451",
            "telephone_number": "270-443-9904",
            "fax_number": "270-575-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012706",
            "telephone_number": "270-442-2744",
            "fax_number": "270-443-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUESS",
        "first_name": "CARL",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "21501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64215015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Leslie Marcum, BA
• Marilyn'S Medical Freedom, Inc.
• Mark L Crawford MD PSC
• Mark L. Crawford M.D., P.S.C.
• Brian Marquess
• Marshall W Davis Drugs Inc
• Lauren Marshall
• Adrienne Martin
• Aribbe Allen Martin, MD
• Kendal Martin, LCSW

• Ophthalmology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.