Individual provider Active NPI

Robert M Marble, MD

  • Emergency Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1841414596
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200700399 Issued in NC
Practice address
5030 Stockdale PL
Winston Salem, NC 27104-2522
Phone
(336) 201-7036
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200700399 NC Primary

Addresses

Primary practice location

5030 Stockdale PL
Winston Salem, NC 27104-2522

Mailing address

5030 Stockdale PL
Winston Salem, NC 27104-2522
Phone (336) 201-7036

Other practice location 1

200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-8018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmarble701870@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080623000545 VA Practitioner - Emergency Medicine 4284726597 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of VA LLCGroup PAC ID 6103291430, 38 clinicians

Practice addresses (Care Compare)

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762
Phone (540) 498-4000

Hospital & facility affiliations

  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200700399NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Nov 15, 2018 Accepting new patients
Emergency Medicine Services of VA, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Page Memorial Hospital Inc. CurrentSince Aug 1, 2020 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Dec 1, 2022 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 15, 2018 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Emergency Medicine Physicians of Davidson County, PLLC Emergency Medicine Past Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients

Locations

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

5005 Plank Rd
Fredericksburg, VA 22407
Phone (540) 736-6900

5001 Plank Rd
Fredericksburg, VA 22407
Phone (540) 498-4000

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: rmarble701870@valleyhealth.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1841414596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 STOCKDALE PL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271042522",
            "telephone_number": "336-201-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 STOCKDALE PL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271042522",
            "telephone_number": "336-201-7036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-743-8018",
            "fax_number": "540-743-0853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200700399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmarble701870@soc.inova.org",
            "affiliation": "N",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.