Organization Active NPI

Marathon Oil Company

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1629392188
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704159126 Issued in MI
Legal business name
MARATHON OIL COMPANY
Practice address
1300 S Fort St
Detroit, MI 48217-1208
Phone
(313) 297-6003
Fax
(313) 843-9419
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Mr. Paul Steven Gurczynski, M.S.N. N.P.-C
Title
Nurse Practitioner
Phone
(313) 297-6003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704159126 MI Primary

Addresses

Primary practice location

1300 S Fort St
Detroit, MI 48217-1208

Mailing address

1300 S Fort St
Detroit, MI 48217-1208
Phone (313) 297-6003

National Provider Directory

National Provider Directory

Locations

1300 S Fort St
Detroit, MI 48217
Phone (313) 297-6003

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1629392188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171208",
            "telephone_number": "313-297-6003",
            "fax_number": "313-843-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S FORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482171208",
            "telephone_number": "313-297-6003",
            "fax_number": "313-843-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON OIL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "GURCZYNSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "313-297-6003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.N. N.P.-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704159126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.