Active NPI
George Marcus, M.D.
- Diagnostic Radiology Physician
- Owatonna, MN
National Provider Identifier
1851377162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 43203
- Practice address
- 134 Southview St
Owatonna, MN 55060-3241 - Phone
- (507) 451-1120
- Fax
- (507) 444-6287
- NPI assigned
- Dec 19, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 43203 | MN | Primary |
Addresses
Primary practice location
134 Southview St
Owatonna, MN 55060-3241
Mailing address
2200 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-1120
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300004181 | Other | MN | MEDICARE - OWATONNA |
| 300112816 | Other | MN | MEDICARE RAILROAD |
| 116625500 | Medicaid | MN |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1851377162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NW 26TH ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550605503",
"telephone_number": "507-451-1120",
"fax_number": "507-444-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 SOUTHVIEW ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550603241",
"telephone_number": "507-451-1120",
"fax_number": "507-444-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "43203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - OWATONNA",
"identifier": "300004181",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "300112816",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116625500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.