Active NPI
Thomas Joseph Marshall, M.D.
- Family Medicine Physician
- Harrisville, MI
National Provider Identifier
1659308146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301048087
- Practice address
- 177 N Barlow Rd
Harrisville, MI 48740-9607 - Phone
- (989) 736-8157
- Fax
- (989) 358-3762
- NPI assigned
- Jun 28, 2006
- Last updated
- Mar 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301048087 | MI | Primary |
Addresses
Primary practice location
177 N Barlow Rd
Harrisville, MI 48740-9607
Mailing address
PO Box 279
Lincoln, MI 48742-0279
Phone (989) 736-3020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1647766 | Medicaid | MI | |
| 2888254 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thomas.marshall.p1@direct.alcona.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1659308146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"city": "LINCOLN",
"state": "MI",
"postal_code": "487420279",
"telephone_number": "989-736-3020",
"fax_number": "989-736-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 N BARLOW RD",
"city": "HARRISVILLE",
"state": "MI",
"postal_code": "487409607",
"telephone_number": "989-736-8157",
"fax_number": "989-358-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301048087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1647766",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2888254",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thomas.marshall.p1@direct.alcona.nextgenshare.com",
"affiliation": "N",
"address_1": "177 N Barlow Rd",
"city": "Harrisville",
"state": "MI",
"country_code": "US",
"postal_code": "487409607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harrisville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.