Keith Marshall, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

267029 Issued in NY

Practice address

5547 W Main St
Verona, NY 13478-3426

Phone

(315) 363-3482

Fax

(315) 363-1597

NPI assigned

Jun 18, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oneida Health Systems IncGroup PAC ID 5395794713, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice and Palliative Care Inc New Hartford Hospice, New Hartford, NY, CCN 331510
• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmarshall@ompohc.medentdirect.com
• Direct secure messaging: kmarshall@ohc.medentdirect.com
• Direct secure messaging: kmarshall@trivalleyfamilypractice.medentdirect.com

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.

• Oneida Health Systems, Inc

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Medicare reassignment Care Compare group NPD
• Oneida Health Systems, Inc.

  • Skilled Nursing Facility
  • Oneida, NY
  • NPI 1528011632
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice & Palliative Care Inc

  • Community Based Hospice Care Agency
  • New Hartford, NY
  • NPI 1063430577
  Care Compare affiliation
• Oneida Health Systems, Inc

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1770804288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5547 W MAIN ST",
            "city": "VERONA",
            "state": "NY",
            "postal_code": "134783426",
            "telephone_number": "315-363-3482",
            "fax_number": "315-363-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 W MAIN ST",
            "city": "VERONA",
            "state": "NY",
            "postal_code": "134783426",
            "telephone_number": "315-363-3482",
            "fax_number": "315-363-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "267029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03585751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "267029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Keegan, SOCIAL WORKER
• Kristina Marie Kinne, L.P.N.
• Melissa A Koegst, PT
• Susan M Kolb, NP
• Madison Oneida Boces
• Julie Elaine McElhinney, LPN
• Cathy M Misiaszek, OT/L
• Laurie Mitchell
• Lara Oak Newman, LPN
• Janet O'Flynn, MS, OTR/L

• Family Medicine Physician in Verona, NY
• Providers in Verona, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.
• 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.

Verify at the official NPI Registry.