Individual provider Active NPI

Michael Vincent Marquard, D.O.

  • Emergency Medicine Physician
  • Hudson, OH
National Provider Identifier
1629369905
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34-011157 Issued in OH
Practice address
5641 Abbyshire Dr
Hudson, OH 44236-2683
Phone
(440) 728-5454
NPI assigned
Apr 21, 2011
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34-011157 OH Primary

Addresses

Primary practice location

5641 Abbyshire Dr
Hudson, OH 44236-2683

Mailing address

5641 Abbyshire Dr
Hudson, OH 44236-2683
Phone (440) 728-5454

Other identifiers 1

IdentifierTypeStateIssuer
010317500MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140902000694 OH Practitioner - Emergency Medicine 1557589777 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-011157OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
Ues Ahuja LLC Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 13, 2018 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jun 11, 2019 Accepting new patients
Summa Emergency Associates, Inc. Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
The Metrohealth System CurrentSince May 1, 2017 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Summa Emergency Associates Emergency Medicine Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1629369905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 ABBYSHIRE DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362683",
            "telephone_number": "440-728-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 ABBYSHIRE DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362683",
            "telephone_number": "440-728-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARD",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-011157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010317500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.