Active NPI
Makaila Marsh, PA-C
- Physician Assistant
- Killeen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2520 Trimmier Rd Ste 100
Killeen, TX 76542-1945 - Phone
- (254) 390-9110
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2520 Trimmier Rd Ste 100
Killeen, TX 76542-1945
Mailing address
160 Canterbury LN
Winchester, VA 22603-4320
Phone (304) 820-5252
Other practice location 1
3010 E Business 190 Ste 254
Copperas Cove, TX 76522-2517
Phone (254) 577-5642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unknown |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Urgent Care | Current | Accepting new patients |
| DCS Medical PA | Current | Accepting new patients |
Locations
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
3010 E Business 190
Ste 254
Copperas Cove, TX 76522
Phone (254) 577-5642
2520 Trimmier Rd
Ste 100
Killeen, TX 76542
Phone (254) 390-9110
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1659092526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 CANTERBURY LN",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226034320",
"telephone_number": "304-820-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 TRIMMIER RD STE 100",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765421945",
"telephone_number": "254-390-9110"
}
],
"practiceLocations": [
{
"address_1": "3010 E Business 190 Ste 254",
"address_purpose": "LOCATION",
"city": "Copperas Cove",
"state": "TX",
"postal_code": "765222517",
"country_code": "US",
"telephone_number": "254-577-5642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSH",
"first_name": "MAKAILA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unknown",
"affiliation": "N",
"address_1": "2520 Trimmier Rd Ste 100",
"city": "Killeen",
"state": "TX",
"country_code": "US",
"postal_code": "765421945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.