Active NPI
David James Marshall, DO
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1972681187
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2689 - Phone
- (313) 916-1553
- NPI assigned
- Mar 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 1972681187 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2689
Mailing address
2799 W Grand Blvd
Detroit, MI 48202-2689
Phone (313) 916-1553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 941-7000
Hospital & facility affiliations
- Trios Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1972681187 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Emergency Medicine of Washington PLLC | Emergency Medicine | Current | Accepting new patients |
| Sunnyside Emergency Group a Professional LLC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
Interoperability endpoints
- dmarshall653987@direct.hfhs.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1689201261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022689",
"telephone_number": "313-916-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022689",
"telephone_number": "313-916-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "1972681187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.