Individual provider Active NPI

Ryan Philip Marshall, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Asheville, NC
National Provider Identifier
1982855334
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2017-00063 Issued in NC
Practice address
30 Town Square Blvd Ste 218
Asheville, NC 28803-5080
Phone
(828) 684-1212
NPI assigned
Oct 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2017-00063 NC
Plastic and Reconstructive Surgery Physician 2086S0122X 35293 MT
Plastic and Reconstructive Surgery Physician 2086S0122X 2017-00063 NC Primary

Addresses

Primary practice location

30 Town Square Blvd Ste 218
Asheville, NC 28803-5080

Mailing address

30 Town Square Blvd Ste 218
Asheville, NC 28803-5080
Phone (828) 684-1212

Other practice location 1

2835 Fort Missoula Rd
Suite 303
Missoula, MT 59804-7423
Phone (406) 327-3895

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190128003361 NC Practitioner - Plastic and Reconstructive Surgery 5991931305 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Western Carolina Physician Practices LLCGroup PAC ID 9032338975, 177 clinicians

Practice addresses (Care Compare)

15 Brettwood Trce
Clyde, NC 28721-8021
Phone (828) 452-9700

208 Charlotte Hwy
Unit 201
Asheville, NC 28803-8713
Phone (828) 844-4347

262 Leroy George Dr
Clyde, NC 28721-7430

40 Brettwood Trce
Clyde, NC 28721-8021
Phone (828) 456-8633

98 Doctors Dr
Sylva, NC 28779-4502

Hospital & facility affiliations

  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35293MTMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Jan 1, 2019 Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince May 16, 2020 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Surgery CurrentSince Feb 1, 2019 Accepting new patients
DLP Western Carolina Physician Practices LLC Surgery CurrentSince Jan 1, 2019 Accepting new patients
Lift Aesthetic Surgery Plastic Surgery Current Accepting new patients
DLP Haywood Regional Medical Center LLC CurrentSince May 16, 2020 Accepting new patients
Laura Ellis MD Skin Care and Vein Centre PLLC Surgery PastSince Aug 16, 2009 Accepting new patients

Locations

55 Buckeye Cove Rd
Canton, NC 28716
Phone 8284525042136

127 Sunset Ridge Rd
Clyde, NC 28721
Phone (828) 452-5039

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

40 Brettwood Trce
Clyde, NC 28721
Phone (828) 452-3110

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

98 Doctors Dr
Ste 320
Sylva, NC 28779
Phone (828) 586-3976

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: ryan.marshall.1@9865.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1982855334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD STE 218",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035080",
            "telephone_number": "828-684-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWN SQUARE BLVD STE 218",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035080",
            "telephone_number": "828-684-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Fort Missoula Rd",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598047423",
            "country_code": "US",
            "telephone_number": "406-327-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "RYAN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2021-12-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2017-00063",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MT",
            "license": "35293",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "2017-00063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.