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DR. GAILEN DAUGHERTY MARSHALL MD NPI 1609810894


NPI Information

NPI: 1609810894
Provider Name: DR. GAILEN DAUGHERTY MARSHALL, MD
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

PECOS Registration: Yes

Address:
878 LAKELAND DR
JACKSON, MS
ZIP 39216
Phone: (601) 815-1078
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DR. Gailen Daugherty Marshall, MD is an allergy and immunology internal medicine in Jackson, MS with 40 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Gailen Daugherty Marshall, MD NPI is 1609810894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1984

The provider's business location address is:

878 LAKELAND DR
JACKSON, MS
ZIP 39216-500
Phone: (601) 815-1078

The NPI 1609810894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 1/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0201XInternal MedicineAllergy & Immunology18705MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103152381MEDICAIDMISSISSIPPI
2512I030001MEDICARE PINMISSISSIPPI
3P00653775MEDICARE PINMISSISSIPPI
4E19856MEDICARE UPINMISSISSIPPI
5302I037062MEDICARE PINMISSISSIPPI
61723380MEDICAIDLOUISIANA
7P01245500MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.