Individual provider Active NPI

Joshua Marvil, PA-C

  • Physician Assistant
  • Muskegon, MI
National Provider Identifier
1932814407
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011530 Issued in MI
Practice address
1250 Mercy Dr Ste 101
Muskegon, MI 49444-1881
Phone
(231) 733-1912
NPI assigned
Jan 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011530 MI Primary

Addresses

Primary practice location

1250 Mercy Dr Ste 101
Muskegon, MI 49444-1881

Mailing address

1250 Mercy Dr Ste 101
Muskegon, MI 49444-1881
Phone (231) 733-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129000919 MI Practitioner - Physician Assistant 7517310394 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601011530MIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jmarvil36600@direct.davitaphysiciansolutions.com
  • Direct secure messaging: jmarvil1648462@direct.trinity-health.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1932814407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MERCY DR STE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441881",
            "telephone_number": "231-733-1912",
            "fax_number": "231-737-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MERCY DR STE 101",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441881",
            "telephone_number": "231-733-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIL",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.