MARSHALL MEDICAL CENTER NPI 1215181664

NPI Information

NPI: 1215181664
Provider Name: MARSHALL MEDICAL CENTER
Classification: Internal Medicine - 207RI0011X
Specialization: Interventional Cardiology
Entity Type: Organization
Other Name: MARSHALL CARDIOLOGY
CLIA Number: 05D2127527
Address: 1004 FOWLER WAY
SUITE 4
PLACERVILLE, CA
ZIP 95667
Phone: (530) 626-9488

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NPI Details

MARSHALL MEDICAL CENTER is an interventional cardiology internal medicine in Placerville, CA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MARSHALL MEDICAL CENTER NPI is 1215181664. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Marshall Cardiology.

The provider's business location address is:

1004 FOWLER WAY
SUITE 4
PLACERVILLE, CA
ZIP 95667-746
Phone: (530) 626-9488

The provider's authorized official is Siri Nelson .
The authorized official title is Ceo and has the following contact phone number (530) 622-1441.

The CLIA number assigned to this NPI record is 05D2127527 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 4/2/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology			No
3	207RG0100X	Internal Medicine	Gastroenterology	030000059	CALIFORNIA	No
4	207RI0011X	Internal Medicine	Interventional Cardiology			Yes
5	207RP1001X	Internal Medicine	Pulmonary Disease		CALIFORNIA	No
6	207UN0901X	Nuclear Medicine	Nuclear Cardiology			No
7	2084N0400X	Psychiatry & Neurology	Neurology			No
8	208800000X	Urology			CALIFORNIA	No

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: 11/21/2025

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