Organization Active NPI

Marlon Michel MD PC

  • Anesthesiology Physician
  • Orem, UT
National Provider Identifier
1639400815
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD0004412 Issued in WA
Legal business name
MARLON MICHEL MD PC
Practice address
1187 N 1100 E
Orem, UT 84097-4391
Phone
(801) 369-3535
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Dr. Marlon Michel, MD MBANPI 1578664892
Title
President
Phone
(801) 369-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD0004412 WA Primary

Addresses

Primary practice location

1187 N 1100 E
Orem, UT 84097-4391

Mailing address

1187 N 1100 E
Orem, UT 84097-4391

Other identifiers 1

IdentifierTypeStateIssuer
8525065MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Marlon Michel MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1639400815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 N 1100 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 N 1100 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974391",
            "telephone_number": "801-369-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLON MICHEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-369-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MBA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD0004412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8525065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.