Organization Active NPI

Larry M Marcus, MD, Facs

  • Facial Plastic Surgery Physician
  • Bristol, CT
National Provider Identifier
1659549624
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
029258 Issued in CT
Legal business name
LARRY M MARCUS, MD, FACS
Practice address
255 N Main St
Bristol, CT 06010-4972
Phone
(860) 585-5888
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Larry Marcus, MD
Title
Physician
Phone
(860) 585-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X 029258 CT Primary

Addresses

Primary practice location

255 N Main St
Bristol, CT 06010-4972

Mailing address

255 N Main St
Bristol, CT 06010-4972

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1659549624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104972",
            "telephone_number": "860-585-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY M MARCUS, MD, FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-585-5888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CT",
            "license": "029258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.