Marcia F Brown, MD
Individual provider Active NPI Pediatrics Physician · Galion, OH
NPI 1902882152 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1902882152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 66557 (OH)
- Practice address
- 270 Portland Way S
Galion, OH 44833-2362 - Phone
- (419) 468-7613
- Fax
- (419) 462-1260
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66557 | OH | MD | Pediatrics Physician |
Interoperability endpoints
- mbrown481861@direct.osumc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 66557 | OH | Yes |
Addresses
Primary practice location
270 Portland Way S
Galion, OH 44833-2362
Mailing address
PO Box 607
Galion, OH 44833-0607
Phone (419) 468-7613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0969162 | Medicaid | OH |
Other providers in Galion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.