Active NPI
Marshall Van Campen Dressel, M.D.
- Neonatal-Perinatal Medicine Physician
- Kalispell, MT
National Provider Identifier
1629176680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD00043972
- Practice address
- 310 Sunnyview LN
Kalispell, MT 59901-3129 - Phone
- (406) 752-5111
- Fax
- (406) 752-5113
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD00043972 | WA | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | M-11014 | ID | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 41142 | AZ |
Addresses
Primary practice location
310 Sunnyview LN
Kalispell, MT 59901-3129
Mailing address
2265 Central Rd
Everson, WA 98247-9756
Phone (360) 966-2878
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41142 | AZ | MD | Neonatal-Perinatal Medicine Physician |
| M-11014 | ID | MD | Neonatal-Perinatal Medicine Physician |
| MD00043972 | WA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital & Regional Medical Center 2 | Past | Accepting new patients | |
| The Association of Chrmc and University Physicians | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Hospital
- Seattle, WA
- NPI 1083789630
-
dba Children's University Medical Group
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Neonatal-Perinatal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1629176680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 CENTRAL RD",
"city": "EVERSON",
"state": "WA",
"postal_code": "982479756",
"telephone_number": "360-966-2878",
"fax_number": "360-966-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013129",
"telephone_number": "406-752-5111",
"fax_number": "406-752-5113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRESSEL",
"first_name": "MARSHALL",
"middle_name": "VAN CAMPEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WA",
"license": "MD00043972",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "ID",
"license": "M-11014",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "41142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.