Active NPI
Marshall Pediatrics Inc
- Pediatrics Physician
- Sidney, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MARSHALL PEDIATRICS INC
- Practice address
- 322 2ND Ave
Sidney, OH 45365-1263 - Phone
- (937) 217-9393
- NPI assigned
- Feb 19, 2019
- 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
- Sarah Marshall, MD
- Title
- Owner
- Phone
- (937) 217-9393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
322 2ND Ave
Sidney, OH 45365-1263
Mailing address
204 Peridot Dr
Anna, OH 45302-8632
Phone (937) 217-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2162846 | Marshall Pediatrics | Certificate of waiver | Feb 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
322 2nd Ave
Sidney, OH 45365
Phone (937) 492-9128
Interoperability endpoints
- https://api.platform.athenahealth.com/21496/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550534400000",
"number": "1730645458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 PERIDOT DR",
"city": "ANNA",
"state": "OH",
"postal_code": "453028632",
"telephone_number": "937-217-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 2ND AVE",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453651263",
"telephone_number": "937-217-9393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL PEDIATRICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-217-9393",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.