Active NPI
Carl Winfred Marquess M D
- Ophthalmology Physician
- Paducah, KY
National Provider Identifier
1710171491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- KY21501
- Legal business name
- CARL WINFRED MARQUESS M D
- Practice address
- 1750 Broadway St
Paducah, KY 42001-2706 - Phone
- (270) 442-2744
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Elrod
- Title
- Bookkeeper
- Phone
- (270) 443-9904
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | KY21501 | KY | Primary |
| Ophthalmology Physician | 207W00000X | KY30522 | KY | |
| Ophthalmology Physician | 207W00000X | KY28184 | KY |
Addresses
Primary practice location
1750 Broadway St
Paducah, KY 42001-2706
Mailing address
1750 Broadway St
Paducah, KY 42001-2706
Other names 1
- Eye Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1710171491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420012706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420012706",
"telephone_number": "270-442-2744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARL WINFRED MARQUESS M D",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "ELROD",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "270-443-9904"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "KY",
"license": "KY21501",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "KY",
"license": "KY30522",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "KY",
"license": "KY28184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.