Individual provider Active NPI

Ronald Robert Marsh, M.D.,F.A.C.S.

  • Surgery Physician
  • Amsterdam, NY
National Provider Identifier
1932219367
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
171766 Issued in NY
Practice address
119 Holland Circle Dr
Amsterdam, NY 12010-7550
Phone
(518) 843-6914
Fax
(518) 843-6915
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 171766 NY Primary

Addresses

Primary practice location

119 Holland Circle Dr
Amsterdam, NY 12010-7550

Mailing address

119 Holland Circle Dr
Amsterdam, NY 12010-7550
Phone (518) 843-6914

Other identifiers 1

IdentifierTypeStateIssuer
01248571MedicaidNY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080425000262 NY Practitioner - General Surgery 2860485968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carondelet Regional Medical PCGroup PAC ID 0840554051, 16 clinicians

Practice addresses (Care Compare)

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010-7550
Phone (518) 843-6914

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)17
Mastectomy1-10
Melanoma (skin cancer) excision15
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Nov 1, 2016 Accepting new patients
Carondelet Regional Medical, PC Surgery CurrentSince Jul 1, 2018 Accepting new patients
St. Mary'S Healthcare CurrentSince Nov 1, 2016 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Ste 102
Amsterdam, NY 12010

119 Holland Circle Dr
Amsterdam, NY 12010
Phone (518) 843-4522

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010
Phone (518) 843-6914

Interoperability endpoints

  • Direct secure messaging: drmarsh@mayercope.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Mary'S HealthcareAmsterdam, NY, CCN 33T047 Hospital Corporate Director Nov 1, 2011
St. Mary'S HealthcareAmsterdam, NY, CCN 335857 Skilled nursing facility Corporate Director Dec 1, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1932219367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107550",
            "telephone_number": "518-843-6914",
            "fax_number": "518-843-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107550",
            "telephone_number": "518-843-6914",
            "fax_number": "518-843-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "RONALD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "171766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.