David Joel Marienau, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01025402A Issued in IN

Practice address

545 S Boehne Camp Rd
Evansville, IN 47712-3703

Phone

(812) 429-1818

Fax

(812) 426-9564

NPI assigned

Nov 29, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1629145289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3868",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477373868",
            "telephone_number": "812-429-1818",
            "fax_number": "812-426-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S BOEHNE CAMP RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123703",
            "telephone_number": "812-429-1818",
            "fax_number": "812-426-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIENAU",
        "first_name": "DAVID",
        "middle_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01025402A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000109463",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64871072",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Mansour, MD
• Erica Marburger, MD
• Laura J Marburger, MD
• Ross Edward Marburger, M.D.
• Marcel Garcia Chiropractic LLC
• Mark a Sitzman PC
• Mark B Luzader
• Mark F Morrison, M.D., P.C.
• Mary Lynn Markham, NP
• Cynthia Marks, M.D.

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.