Jerome M Marchuk, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

18800 Issued in NC

Practice address

98 Doctors Dr
Suite 100
Sylva, NC 28779-4501

Phone

(828) 631-8755

Fax

(828) 631-8777

NPI assigned

Jul 29, 2005

Last updated

Jan 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Urology

  Medicare reassignment NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Cherokee Indian Hospital Authority

  dba Ciha Analenisgi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348
  NPD (past)
• Georgia Urology, PA

  • Ambulatory Surgical Clinic/Center
  • Braselton, GA
  • NPI 1861222119
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1942200084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HAYWOOD OFFICE PARK",
            "address_2": "STE 106",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287856998",
            "telephone_number": "828-452-5042",
            "fax_number": "828-452-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 DOCTORS DR",
            "address_2": "SUITE 100",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287794501",
            "telephone_number": "828-631-8755",
            "fax_number": "828-631-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHUK",
        "first_name": "JEROME",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "18800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-IND.",
            "identifier": "138M4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138M4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Spencer Macrae, CNM
• Kyle Trevor Malstrom, DDS
• Robert Keith Manga, DMD
• Rebecca Elizabeth Manring, NP-C
• Lauren Jenelle March, PSY.D.
• Christina M Marko, LCSWA
• Marks Pharmacy LLC
• Marks Pharmacy LLC (Mark's Health Mart Pharmacy)
• Kimberly Martin, R.N.
• Margarita Martinez-Lopez

• Urology Physician in Sylva, NC
• Providers in Sylva, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.