Organization Active NPI

Stephen N Marshall DPM PC

  • Podiatrist
  • Camillus, NY
National Provider Identifier
1912193210
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
STEPHEN N MARSHALL DPM PC
Practice address
5700 W Genesee St
Suite 221
Camillus, NY 13031
Phone
(315) 631-3668
Fax
(315) 631-3670
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Stephen N Marshall, DPM
Title
Owner
Phone
(315) 631-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5700 W Genesee St
Suite 221
Camillus, NY 13031

Mailing address

5700 W Genesee St
Suite 221
Camillus, NY 13031
Phone (315) 631-3668

National Provider Directory

National Provider Directory

Locations

5700 W Genesee St
Ste 221
Camillus, NY 13031
Phone (315) 631-3668

5700 W Genesee St
Ste 221N
Camillus, NY 13031
Phone (315) 631-3668

3309 James St
Ste 2
Syracuse, NY 13206
Phone (315) 463-0991

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1912193210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 221",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-631-3668",
            "fax_number": "315-631-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 221",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "13031",
            "telephone_number": "315-631-3668",
            "fax_number": "315-631-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN N MARSHALL DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-631-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.