Active NPI
Earl Mac Marshall Jr., MD
- Family Medicine Physician
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301500770
- 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
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 |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
200 S Ih
Suite 35
Pearsall, TX 78061-6601
Phone (830) 334-3617
Hospital & facility affiliations
- Frio Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frio Hospital Association | Current | Accepting new patients | |
| Frio Hospital Association | Current | Accepting new patients | |
| Jones ER Physicians Staffing Inc | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporation | Current | Accepting new patients | |
| Frio Hospital Association | Current | Accepting new patients | |
| Frio Hospital Association | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporatio | Current | 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.
-
- Rural Health Clinic/Center
- Dilley, TX
- NPI 1255977211
-
- Critical Access Hospital Clinic/Center
- Pearsall, TX
- NPI 1447574819
-
- Home Health Agency
- Pearsall, TX
- NPI 1184652372
-
- Specialist
- Monroe, MI
- NPI 1376997551
-
- Clinic/Center
- Pearsall, TX
- NPI 1053195032
-
- Clinic/Center
- Pearsall, TX
- NPI 1770210627
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Pearsall, TX
- NPI 1447574819
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.