Robert Marriott, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A92018 Issued in CA

Practice address

222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639

Phone

(877) 878-3289

Fax

(877) 817-3227

NPI assigned

Jul 17, 2006

Last updated

Dec 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NY, AZ, FL, CO, TX6 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 6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 45)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: rmarriott@direct-address.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert Marriott Medical Corp

  dba Advantage Wound Care

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  AZ, CO, NY, TX

  Medicare reassignment NPD Authorized official
• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • North Bay Village, FL
  • NPI 1952843716
  Medicare reassignment NPD Authorized official
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Baromedical Physician Associates Medical Group

  dba Orange County Wound and Hyperbaric

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Santa Ana, CA
  • NPI 1164569463
  NPD Authorized official
• Robert Marriott Medical Corp

  • Surgery Physician
  • San Antonio, TX
  • NPI 1356892962
  NPD Authorized official
• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • Lady Lake, FL
  • NPI 1861978652
  NPD Authorized official
• Sunshine Surgical and Woundcare LLC

  • Surgery Physician
  • Boca Raton, FL
  • NPI 1588188635
  NPD Authorized official
• Advantage Surgical and Wound Care New Jersey PC

  • Surgery Physician
  • Lincroft, NJ
  • NPI 1164181640
  NPD (past) Authorized official
• Advantage Surgical and Wound Care New Jersey PC

  • Surgery Physician
  • Maywood, NJ
  • NPI 1689336505
  Authorized official Same address or phone
• Eobert Marriott Medical Corp

  • Surgery Physician
  • Friendswood, TX
  • NPI 1437600046
  Authorized official Same address or phone
• Robert Marriott Medical Corp

  • Surgery Physician
  • Maywood, NJ
  • NPI 1003367558
  Authorized official Same address or phone
• Robert Marriott Medical Corp

  • Surgery Physician
  • Mount Airy, MD
  • NPI 1003367566
  Authorized official Same address or phone

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1700804887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 2175",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455639",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 2175",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455639",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A92018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICIENSE",
            "identifier": "A92018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliana Marquez
• Martha Marquez
• Paulina Marquez
• Salma Marquez
• Michael E Marrero, M.D.
• Diana Marron
• Jeffrey Ellis Marshak, O.D.
• Dante Marshall
• Lillian Marshall
• Jose Martha

• Surgery Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.

Verify at the official NPI Registry.