Individual provider Active NPI

Michael Marsh, M.D., PH.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Antonio, TX
National Provider Identifier
1710243027
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
R3140 Issued in TX
Practice address
4114 Pond Hill Rd Ste 102
San Antonio, TX 78231-1273
Phone
(210) 761-5448
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X R3140 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4114 Pond Hill Rd Ste 102
San Antonio, TX 78231-1273

Mailing address

4114 Pond Hill Rd Ste 102
San Antonio, TX 78231-1273
Phone (210) 761-5448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170731000987 TX Practitioner - Pediatric MedicinePractitioner - Neurology 0446553242 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Medical and Sleep Specialists, PLLC Single Specialty CurrentSince Jul 15, 2017 Accepting new patients
Kelly J Smith MD PA Single Specialty Past Accepting new patients

Locations

4114 Pond Hill Rd
Ste 101
San Antonio, TX 78231

4114 Pond Hill Rd
Ste 102
San Antonio, TX 78231
Phone (210) 761-5448

Interoperability endpoints

  • Direct secure messaging: mmarsh@txmss.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1710243027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 POND HILL RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311273",
            "telephone_number": "210-761-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 POND HILL RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311273",
            "telephone_number": "210-761-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "MICHAEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "R3140",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.