Active NPI
Michael Bryant Marcum
- Durable Medical Equipment & Medical Supplies
- Lucasville, OH
National Provider Identifier
1679775654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2229743
- Practice address
- 1465 Morris Lane Blue Run Rd # a
Lucasville, OH 45648-8701 - Phone
- (740) 259-9531
- Fax
- (740) 259-9531
- NPI assigned
- Jun 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | VL73038714 | OH | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2229743 | OH | Primary |
Addresses
Primary practice location
1465 Morris Lane Blue Run Rd # a
Lucasville, OH 45648-8701
Mailing address
1465 Morris Lane Blue Run Rd # a
Lucasville, OH 45648-8701
Phone (740) 259-9531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2229743 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VL73038714 | OH | MD | Home Modifications Contractor |
| 2229743 | OH | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679775654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 MORRIS LANE BLUE RUN RD # A",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456488701",
"telephone_number": "740-259-9531",
"fax_number": "740-259-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 MORRIS LANE BLUE RUN RD # A",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456488701",
"telephone_number": "740-259-9531",
"fax_number": "740-259-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUM",
"first_name": "MICHAEL",
"middle_name": "BRYANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "OH",
"license": "VL73038714",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": "2229743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2229743",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lucasville, OH
- Christine Littleton
- Lucasville I Facility Operations, LLC (Edgewood Manor of Lucasville I)
- Lucasville II Facility Operations, LLC (Edgewood Manor of Lucasville II)
- Lucasville Medical Specialist
- Michael A. Lusk, P.T.
- Kiley Marshall, MSN, APRN, FNP-C
- Ashley Mason
- Jacqueline Matthews
- Apollo McCain
- Ashley McCain
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.