NPIMap

Organization Active NPI

Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
National Provider Identifier
1891737185
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MARSHALL EMERGENCY SERVICES ASSOCIATES, PLLC
Practice address
3205 Summit Square PL
Suite 100
Lexington, KY 40509-2650
Phone
(859) 335-9041
Fax
(859) 335-9072
NPI assigned
Jun 12, 2006
Last updated
Sep 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
John Mullins, MDNPI 1063434538
Title
President
Phone
(859) 335-9041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

3205 Summit Square PL
Suite 100
Lexington, KY 40509-2650

Mailing address

3205 Summit Square PL
Suite 100
Lexington, KY 40509-2636
Phone (859) 335-9041

Other identifiers 3

IdentifierTypeStateIssuer
200875830 AMedicaidIN
2335280MedicaidOH
7100008470MedicaidKY

National Provider Directory

National Provider Directory

Locations

3275 Reliable Pkwy
Chicago, IL 60686

1210 KY Highway 36 E
Cynthiana, KY 41031
Phone (859) 234-2300

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

Practitioners & affiliated clinicians

Practitioners 299

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 299

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1891737185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 SUMMIT SQUARE PL",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092636",
            "telephone_number": "859-335-9041",
            "fax_number": "859-335-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 SUMMIT SQUARE PL",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092650",
            "telephone_number": "859-335-9041",
            "fax_number": "859-335-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL EMERGENCY SERVICES ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-335-9041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200875830 A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335280",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100008470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.