Marsha F Bertholf, M.D.

Primary specialty

Blood Banking & Transfusion Medicine PhysicianTaxonomy code 207ZB0001X

License

ME54361 Issued in FL

Practice address

7595 Centurion Pkwy
Jacksonville, FL 32256-0518

Phone

(904) 353-8263

Fax

(904) 358-7111

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1730302514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 CENTURION PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560518",
            "telephone_number": "904-353-8263",
            "fax_number": "904-358-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 CENTURION PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560518",
            "telephone_number": "904-353-8263",
            "fax_number": "904-358-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOLF",
        "first_name": "MARSHA",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "FL",
            "license": "ME54361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy David Berry, LMHC
• Yasmin Mariah Berry
• Robyn Elizabeth Berryman, NNP-BC, MSN
• Philip John Bert
• Clarissa Bertha
• Ronville S Bertie, LMHC
• Suzanne Michele Bertisch, M.D., M.P.H.
• Leah Bertoch
• Sara Cummings Bertoch, PHD
• Giancarlo Bertozzi, MD

• Blood Banking & Transfusion Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Blood Banking & Transfusion Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.