Active NPI
Douglas Lawrence Marsh, D.O.
- Addiction Medicine (Family Medicine) Physician
- Melvindale, MI
National Provider Identifier
1790745966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 5101007923
- Practice address
- 18590 Allen Rd
Melvindale, MI 48122-1516 - Phone
- (313) 928-5000
- Fax
- (313) 928-2215
- NPI assigned
- Mar 23, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 5101007923 | MI | Primary |
Addresses
Primary practice location
18590 Allen Rd
Melvindale, MI 48122-1516
Mailing address
18590 Allen Rd
Melvindale, MI 48122-1516
Phone (313) 928-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100625000055 | MI | Practitioner - General Practice | 3870624430 | Practice locations: Melvindale, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790745966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18590 ALLEN RD",
"city": "MELVINDALE",
"state": "MI",
"postal_code": "481221516",
"telephone_number": "313-928-5000",
"fax_number": "313-928-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18590 ALLEN RD",
"city": "MELVINDALE",
"state": "MI",
"postal_code": "481221516",
"telephone_number": "313-928-5000",
"fax_number": "313-928-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "DOUGLAS",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MI",
"license": "5101007923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melvindale, MI
- LKS Solutions Focused
- Loving Hearts Family Care
- Richard James Lucido, PH. D.
- Stephen P Lukas, OPTICIAN
- Kathryn Lyttleton
- Diane Gail Matz, LMSW
- Melvindale Family Dentistry
- Melvindale Family Urgent Care PLLC
- Melvindale Pharmacy Inc.
- Melvindale Physical Therapy Specialists (Melvindale Physical Therapy Specialists, L.L.C)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.