Individual provider Active NPI

Jeff Marshick, D.O.

  • Pulmonary Disease Physician
  • Clarkston, MI
National Provider Identifier
1811013865
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5101015601 Issued in MI
Practice address
5701 Bow Pointe Dr Ste 365
Clarkston, MI 48346-5403
Phone
(248) 922-9283
Fax
(248) 922-9286
NPI assigned
Mar 21, 2007
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5101015601 MI Primary

Addresses

Primary practice location

5701 Bow Pointe Dr Ste 365
Clarkston, MI 48346-5403

Mailing address

5701 Bow Pointe Dr Ste 365
Clarkston, MI 48346-5403
Phone (248) 922-9283

Other practice location 1

441 S Livernois Rd
Ste 180
Rochester Hills, MI 48307-2584
Phone (248) 652-2708

Other practice location 2

1 William Carls Dr Ste 250
Commerce Twp, MI 48382-2201
Phone (248) 937-3395

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000036 MI Practitioner - Pulmonary Disease 6406900307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
R Franklin University of Med & Sci/Chicago Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Critical Care Medicine Consultants PCGroup PAC ID 3870527443, 3 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-3395

5701 Bow Pointe Dr
Clarkston, MI 48346-5403
Phone (248) 922-9283

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015601MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJMH Medical Practice-SMHC Pulmonary Disease CurrentSince Oct 9, 2010 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Oct 9, 2010 Accepting new patients
Pulmonary & Critical Care Medicine Consultants PC Pulmonary Disease CurrentSince Aug 1, 2009 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 365
Clarkston, MI 48346
Phone (248) 922-9283

1 William Carls Dr
#250
Commerce Twp, MI 48382
Phone (248) 652-2708

1 William Carls Dr
Ste 250
Commerce Twp, MI 48382
Phone (248) 937-3395

1455 S Lapeer Rd
Ste L12
Lake Orion, MI 48360

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

441 S Livernois Rd
Ste 180
Rochester Hills, MI 48307
Phone (248) 652-2708

Interoperability endpoints

  • Direct secure messaging: jmarshic@direct.dmc.org
  • Direct secure messaging: jmarshick40661@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1811013865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 365",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465403",
            "telephone_number": "248-922-9283",
            "fax_number": "248-922-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 365",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465403",
            "telephone_number": "248-922-9283",
            "fax_number": "248-922-9286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 S Livernois Rd",
            "address_2": "Ste 180",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483072584",
            "country_code": "US",
            "telephone_number": "248-652-2708",
            "fax_number": "248-652-0205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 William Carls Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Commerce Twp",
            "state": "MI",
            "postal_code": "483822201",
            "country_code": "US",
            "telephone_number": "248-937-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHICK",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "5101015601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.