Individual provider Active NPI

J Joseph Marr III, MD

  • Emergency Medicine Physician
  • Gillette, WY
National Provider Identifier
1801874151
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
6311A Issued in WY
Practice address
501 S Burma Ave
Gillette, WY 82716-3426
Phone
(307) 688-1100
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0033361 CO
Emergency Medicine Physician 207P00000X 33361 CO
Emergency Medicine Physician 207P00000X 6311A WY Primary

Addresses

Primary practice location

501 S Burma Ave
Gillette, WY 82716-3426

Mailing address

3192 W 151St CT
Broomfield, CO 80023-9430
Phone (720) 320-0450

Other practice location 1

9191 Grant St.
Thornton, CO 80229-8812
Phone (303) 450-4482

Other identifiers 1

IdentifierTypeStateIssuer
36076864MedicaidCO

Other names 1

  • James J. Marr, III Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100525000130 CO Practitioner - Emergency Medicine 7315076668 Reassigns benefits to 2 organizations
I20200306001997 WY Practitioner - Emergency Medicine 7315076668 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33361COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Emergency Medicine, PLLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Jan 19, 2020 Accepting new patients
Campbell County Hospital District CurrentSince Jan 19, 2020 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Carepoint P.C. Emergency Medicine CurrentSince Jul 1, 2000 Accepting new patients
Terrebonne Parish Hospital Service District #1 Past Accepting new patients

Locations

1400 S Potomac St
Ste 110
Aurora, CO 80012
Phone (303) 745-0000

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

12793 Holly St
Thornton, CO 80241
Phone (303) 280-6400

9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003

9141 Grant St
Ste B40
Thornton, CO 80229
Phone (303) 453-2554

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1801874151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 W 151ST CT",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239430",
            "telephone_number": "720-320-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BURMA AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163426",
            "telephone_number": "307-688-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9191 Grant St.",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802298812",
            "country_code": "US",
            "telephone_number": "303-450-4482",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARR",
        "first_name": "J",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0033361",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "33361",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "6311A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36076864",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "MARR, III",
            "middle_name": "J.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.