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MARSHALL MEDICAL CENTER NPI 1619021201


NPI Information

NPI: 1619021201
Provider Name: MARSHALL MEDICAL CENTER

Doing Business As: MARSHALL SPECIALITY CARE

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3501 PALMER DR STE 201
CAMERON PARK, CA
ZIP 95682
Phone: (530) 672-7052
Get Directions

MARSHALL MEDICAL CENTER is a gastroenterology internal medicine in Cameron Park, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MARSHALL MEDICAL CENTER NPI is 1619021201. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marshall Speciality Care.

The provider's business location address is:

3501 PALMER DR STE 201
CAMERON PARK, CA
ZIP 95682-276
Phone: (530) 672-7052

The provider's authorized official is Laurie Eldridge .
The authorized official title is Ceo and has the following contact phone number (530) 626-2955.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 9/8/2020.


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
1207RR0500XInternal MedicineRheumatologyCALIFORNIANo
22084N0400XPsychiatry & NeurologyNeurologyNo
3213ES0103XPodiatristFoot & Ankle SurgeryCALIFORNIANo
4207RG0100XInternal MedicineGastroenterologyCALIFORNIAYes

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
1CT1847OTHERCALIFORNIARAILROAD MEDICARE

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

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