TY DANIEL MARSHALL PA-C NPI 1932606712

NPI Information

  • NPI: 1932606712
  • Provider Name: TY DANIEL MARSHALL, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 290 QUARRY ST APT 812
    QUINCY, MA
    ZIP 02169
  • Phone: (847) 477-2168

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NPI Details

Ty Daniel Marshall, PA-C is a surgical physician assistant in Quincy, MA. Ty Daniel Marshall, PA-C NPI is 1932606712. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

290 QUARRY ST APT 812
QUINCY, MA
ZIP 02169-154
Phone: (847) 477-2168

The enumeration date for this NPI number is 4/9/2018 and was last updated on 4/9/2018.

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
1363AS0400XPhysician AssistantSurgicalYes

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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