Trent Wright Marcus, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4476 Issued in AR

Practice address

5722 Integrity Dr
Building S771
Millington, TN 38054-5028

Phone

(901) 874-6119

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Associated Healthcare Systems of Randolph County, Inc.

  • Emergency Care Clinic/Center
  • Pocahontas, AR
  • NPI 1033283171
  NPD (past)
• De Queen Medical Center Inc

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1154423523
  NPD (past)
• Genesis Emergency Medicine Services LLC

  • Emergency Medicine Physician
  • Atoka, OK
  • NPI 1669425682
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1831147461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 LEAH LN",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724429128",
            "telephone_number": "870-561-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 INTEGRITY DR",
            "address_2": "BUILDING S771",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380545028",
            "telephone_number": "901-874-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "TRENT",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11359",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "R-4476",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "R4476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS LICENSE",
            "identifier": "R-4476",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "CC7692",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506021",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA LICENSE",
            "identifier": "11359",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Ludden, DMD
• James R Luedtke, INDEPENDENT DUTY HM
• Luxottica of America Inc
• Alexander Joseph Mabile III
• Courtney Ann Makcen, CPNP
• Carla Marsh, LPN
• Leellon Louise Martin, NP
• Mary I Cates Landsee
• Kathy L McClain, DPH
• Geraldine Webber McCoy, MSN, APRN, FNP-C

• Family Medicine Physician in Millington, TN
• Providers in Millington, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.