Zachary Wade Marshall, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

R5893 Issued in TX

Practice address

205 N Oak St Unit B
Roanoke, TX 76262-7001

Phone

(682) 593-9355

Fax

(608) 713-8024

NPI assigned

May 12, 2013

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McGovern Allergy Clinic, P.a.Group PAC ID 8921093543, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: marshall.zachary.772.0430318@maac.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McGovern Allergy Clinic, P.a.

  dba McGovern Allergy and Asthma Clinic, P.A.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Bellaire, TX
  • NPI 1194795450
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1912343419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N OAK ST UNIT B",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762627001",
            "telephone_number": "682-593-9355",
            "fax_number": "608-713-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N OAK ST UNIT B",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762627001",
            "telephone_number": "682-593-9355",
            "fax_number": "608-713-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ZACHARY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-12",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "R5893",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10046672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Lynn Long, PH.D.
• Nathanael Lucero
• Gueorgui T Maltchev, PA
• Mary Maltchev
• Nikitha Mantha
• Edward A Martinez, PA
• Amber McClinton
• Abigail McCrary, LPC
• Med Southwest, PLLC (MyEyeDr.)
• Joanna Christal Mendoza, PT, DPT

• Allergy Physician in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Allergy Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.