Active NPI
Cullen Spencer Marshall, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- TP739
- Practice address
- 411 E Chestnut St # 6
Louisville, KY 40202-1713 - Phone
- (502) 588-3650
- Fax
- (502) 588-7852
- NPI assigned
- Apr 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | TP739 | KY | Primary |
Addresses
Primary practice location
411 E Chestnut St # 6
Louisville, KY 40202-1713
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP739 | KY | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Children'S Medical Group, LLC | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Norton Childrens Medical Group, LLC | Past | Accepting new patients | |
| Commission for Children With Special Health Car | Past | Accepting new patients |
Locations
125 Kingswood Dr
Campbellsville, KY 42718
Phone (270) 789-1112
57 Summit Dr
Corbin, KY 40701
Phone (606) 528-9700
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670
411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
310 Whittington Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 429-1249
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894
1707 Cedar Grove Rd
Ste 15
Shepherdsville, KY 40165
Phone (502) 543-3246
Interoperability endpoints
- cmarshall85254@direct.nortonhealthcare.org
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Neurology with Special Qualifications in Child Neurology Physician
- Louisville, KY
- NPI 1134760796
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1831197953
-
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1770016602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E CHESTNUT ST # 6",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021713",
"telephone_number": "502-588-3650",
"fax_number": "502-588-7852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "CULLEN",
"middle_name": "SPENCER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "KY",
"license": "TP739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.