DR. BASIL JOHN MARRELLA DO NPI 1407833270

NPI Information

NPI: 1407833270
Provider Name: DR. BASIL JOHN MARRELLA, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
30855 JOHN R RD
MADISON HEIGHTS, MI
ZIP 48071
Phone: (248) 583-0100
Get Directions

DR. Basil John Marrella, DO is a general practice in Madison Heights, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Basil John Marrella, DO NPI is 1407833270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30855 JOHN R RD
MADISON HEIGHTS, MI
ZIP 48071-213
Phone: (248) 583-0100
Fax: (248) 583-4894

The enumeration date for this NPI number is 12/22/2005 and was last updated on 12/28/2011.

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	208D00000X	General Practice		5101006788	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	OF36177022	MEDICARE PIN	MICHIGAN
2	E25568	MEDICARE UPIN
3	114788740	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »