Individual provider Active NPI

Earl Mac Marshall Jr., MD

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1699296012
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301500770 Issued in MI
Practice address
1086 N Monroe St
Monroe, MI 48162-3193
Phone
(734) 244-5380
Fax
(734) 244-5795
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301500770 MI Primary

Addresses

Primary practice location

1086 N Monroe St
Monroe, MI 48162-3193

Mailing address

1086 N Monroe St
Monroe, MI 48162-3193
Phone (734) 244-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200511002173 TX Practitioner - Family Practice 3476881822 Reassigns benefits to 3 organizations
I20200827001867 MI Practitioner - Family Practice 3476881822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frio Hospital Association 9 clinicians

Practice addresses (Care Compare)

200 S Ih
Suite 35
Pearsall, TX 78061-6601
Phone (830) 334-3617

Hospital & facility affiliations

  • Frio Regional Hospital Hospital, Pearsall, TX, CCN 451391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frio Hospital Association CurrentSince Oct 28, 2023 Accepting new patients
Frio Hospital Association CurrentSince Jun 1, 2022 Accepting new patients
Jones ER Physicians Staffing Inc CurrentSince May 7, 2020 Accepting new patients
Mercy Memorial Hospital Corporation CurrentSince Aug 1, 2020 Accepting new patients
Frio Hospital Association Current Accepting new patients
Frio Hospital Association CurrentSince Jun 1, 2022 Accepting new patients
Mercy Memorial Hospital Corporatio CurrentSince Aug 1, 2020 Accepting new patients
Frio Hospital Association Past Accepting new patients
Frio Hospital Association Past Accepting new patients

Locations

905 N Macomb St
Ste 2
Monroe, MI 48162
Phone (734) 242-1899

650 Stewart Rd
Monroe, MI 48162
Phone (734) 240-4594

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1086 N Monroe St
Monroe, MI 48162
Phone (734) 244-5380

801 W FM 117
Dilley, TX 78017
Phone (830) 326-3171

2320 S Shepherd Dr
Houston, TX 77019
Phone (713) 322-8716

17030 Northwest Fwy
Jersey Village, TX 77040
Phone (832) 232-0600

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1699296012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-244-5380",
            "fax_number": "734-244-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-244-5380",
            "fax_number": "734-244-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "EARL",
        "middle_name": "MAC",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301500770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.