Active NPI
Laurie Ladawn Marbas, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1982672366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60805565
- Practice address
- 6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040 - Phone
- (949) 791-9745
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0048338 | CO | |
| Family Medicine Physician | 207Q00000X | MD60805565 | WA | Primary |
Addresses
Primary practice location
6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040
Mailing address
6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040
Phone (949) 791-9745
Other practice location 1
26561 El Toboso
Mission Viejo, CA 92691-5929
Phone (970) 620-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0048338 | CO | MD | Family Medicine Physician |
| MD60805565 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seminole Hospital District of Gaines County Texas | Past | Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Past | Accepting new patients | |
| Community Medical Group, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Community Care of the Grand Valley
- Family Medicine Physician
- Grand Junction, CO
- NPI 1629201637
-
dba Seminole Family Medical Clinic
- Rural Health Clinic/Center
- Seminole, TX
- NPI 1467879569
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1982672366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331266040",
"telephone_number": "949-791-9745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331266040",
"telephone_number": "949-791-9745"
}
],
"practiceLocations": [
{
"address_1": "26561 El Toboso",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926915929",
"country_code": "US",
"telephone_number": "970-620-0345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARBAS",
"first_name": "LAURIE",
"middle_name": "LADAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0048338",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60805565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.