Active NPI
Marc Laurence Daymude, M.D.
- Emergency Medicine Physician
- Fort Sam Houston, TX
National Provider Identifier
1821089806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9600332
- Practice address
- Brooke Army Medical Center, McHe-QD/Credentials
3851 Roger Brooke Dr.
Fort Sam Houston, TX 78234-6200 - Phone
- (210) 916-4626
- Fax
- (210) 916-2265
- NPI assigned
- Oct 31, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9600332 | NC | Primary |
Addresses
Primary practice location
Brooke Army Medical Center, McHe-QD/Credentials
3851 Roger Brooke Dr.
Fort Sam Houston, TX 78234-6200
Mailing address
Brooke Army Medical Center, McHe-QD/Credentials
3851 Roger Brooke Dr.
Fort Sam Houston, TX 78234-6200
Phone (210) 916-4626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Emergency Physicians PA | Current | Accepting new patients | |
| Emergency Medicine Physicians of Carteret County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Pinehurst, NC
- NPI 1003853409
-
- Emergency Medicine Physician
- Morehead City, NC
- NPI 1538108535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1821089806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER, MCHE-QD/CREDENTIALS",
"address_2": "3851 ROGER BROOKE DR.",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-4626",
"fax_number": "210-916-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER, MCHE-QD/CREDENTIALS",
"address_2": "3851 ROGER BROOKE DR.",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-4626",
"fax_number": "210-916-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYMUDE",
"first_name": "MARC",
"middle_name": "LAURENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "9600332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.