Active NPI
Marshall Goren, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Memphis, TN
National Provider Identifier
1700299765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- MD0000013709
- Practice address
- 5726 Quince Rd Apt 13
Memphis, TN 38119-7010 - Phone
- (901) 767-5020
- NPI assigned
- Jun 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MD0000013709 | TN | Primary |
Addresses
Primary practice location
5726 Quince Rd Apt 13
Memphis, TN 38119-7010
Mailing address
5726 Quince Rd Apt 13
Memphis, TN 38119-7010
Phone (901) 767-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000013709 | TN | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402099200000",
"number": "1700299765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5726 QUINCE RD APT 13",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381197010",
"telephone_number": "901-767-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5726 QUINCE RD APT 13",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381197010",
"telephone_number": "901-767-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOREN",
"first_name": "MARSHALL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-07",
"last_updated": "2014-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "TN",
"license": "MD0000013709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.