Karen Marcum

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

KK358154 Issued in CA

Practice address

4165 Blackhawk Plaza Circle
Private Suite 250
Danville, CA 94506

Phone

(510) 300-5221

NPI assigned

Sep 21, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1730730789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIRCLE",
            "address_2": "PRIVATE SUITE 250",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "510-300-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIRCLE",
            "address_2": "PRIVATE SUITE 250",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94506",
            "telephone_number": "510-300-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "KK358154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moxi@moxiloxi.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4165 Blackhawk Plaza Circle",
            "address_2": "Private Suite 250",
            "city": "Danville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Giselle Greenan Maher, RN
• Niele Maimone, D.C.
• Rupinder K Mann, MD
• Sirintorn R Mann, PA-C
• Heather Michelle Marchman, M.A., L.M.F.T.
• Margaret Mariella, M.D.
• Marilyn S. Kwolek MD, PC
• Mark Graham, DDS, Inc.
• Julie Mark, RPH
• Christyn Marshall, DPM

• Prosthetic/Orthotic Supplier in Danville, CA
• Providers in Danville, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; 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.