Organization Active NPI

Deirdre M. Marshall, MD., PA

  • Plastic and Reconstructive Surgery Physician
  • South Miami, FL
National Provider Identifier
1891032926
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME64150 Issued in FL
Legal business name
DEIRDRE M. MARSHALL, MD., PA
Practice address
6360 Sunset Dr
South Miami, FL 33143-4836
Phone
(305) 663-5790
Fax
(305) 663-5730
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Deirdre M. Marshall, M.D., FACSNPI 1508880733
Title
Medical Doctor
Phone
(305) 663-5790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X ME64150 FL Primary

Addresses

Primary practice location

6360 Sunset Dr
South Miami, FL 33143-4836

Mailing address

6360 Sunset Dr
South Miami, FL 33143-4836
Phone (305) 663-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131003000483 FL Part B Supplier - Clinic/Group Practice 9436383569 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

6360 Sunset Dr
South Miami, FL 33143
Phone (305) 663-5790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1891032926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434836",
            "telephone_number": "305-663-5790",
            "fax_number": "305-663-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 SUNSET DR",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434836",
            "telephone_number": "305-663-5790",
            "fax_number": "305-663-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRDRE M. MARSHALL, MD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-663-5790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACS"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME64150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.