NPIMap

Individual provider Active NPI

James Gordon Marble, DO

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1629631700
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRO-1818 Issued in ID
Practice address
465 Memorial Dr
Pocatello, ID 83201-4008
Phone
(208) 234-4700
Fax
(208) 282-4696
NPI assigned
Apr 15, 2019
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRO-1818 ID Primary

Addresses

Primary practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Mailing address

465 Memorial Dr
Pocatello, ID 83201-4008
Phone (208) 234-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726001934 ID Practitioner - Family Practice 1658605779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Group, P.a.Group PAC ID 1658275391, shared by 2 NPIs, 14 clinicians
Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

1951 Bench Rd
Pocatello, ID 83201-2073
Phone (208) 238-1000

465 Memorial Dr
Pocatello, ID 83201-4008
Phone 20823278621122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Current Accepting new patients
Family Practice Group, P.a. Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West Inc. CurrentSince Mar 3, 2025 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Family Practice Group, P.a. CurrentSince Aug 1, 2021 Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients
Health West, Inc. Family Medicine Past Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

152 S 4th St
Montpelier, ID 83254
Phone (208) 847-2108

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-6260

1001 N 7th Ave
Ste 135
Pocatello, ID 83201
Phone (208) 234-2489

1951 Bench Rd
Ste B
Pocatello, ID 83201
Phone (208) 238-1000

1951 Bench Rd
Ste D
Pocatello, ID 83201
Phone (208) 237-1151

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Interoperability endpoints

  • Direct secure messaging: james.marble.1@16258.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1629631700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014008",
            "telephone_number": "208-234-4700",
            "fax_number": "208-282-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEMORIAL DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014008",
            "telephone_number": "208-234-4700",
            "fax_number": "208-282-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "JAMES",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRO-1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.