Active NPI
Richard J. Marshall, PA
- Physician Assistant
- Ormond Beach, FL
National Provider Identifier
1679512867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3688
- Practice address
- 875 Sterthaus Ave
Ormond Beach, FL 32174-5131 - Phone
- (386) 676-6022
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3688 | FL | Primary |
Addresses
Primary practice location
875 Sterthaus Ave
Ormond Beach, FL 32174-5131
Mailing address
894 Willow Run
Ormond Beach, FL 32174-6148
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3688 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterthaus ER SVCS Partnership LLC | Past | Accepting new patients | |
| Comprehensive Hospitalist Services of Naples LLC | Past | Accepting new patients |
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.
-
- Hospitalist Physician
- Daytona Beach, FL
- NPI 1851693568
-
- Emergency Medicine Physician
- Daytona Beach, FL
- NPI 1043269376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679512867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "894 WILLOW RUN",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 STERTHAUS AVE",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745131",
"telephone_number": "386-676-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "RICHARD",
"middle_name": "J.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.