MR. DEREK MARSHALL (NPI# 1164790713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164790713 |
| Entity Type | Individual |
| Full Name | MR. DEREK MARSHALL |
| Practice Address |
1316 Virginia St E Charleston WV 25301-3054 |
| Practice Telephone | 8002255288 |
| Mailing Telephone | 8002255288 |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2017-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619374 | Derek Marshall | Student in an Organized Health Care Education/Training Program | 1801 Vicente St, San Francisco, CA 94116-2923 | 2019-10-03 |
| 1104320639 | Derek Logan Marshall | Student in an Organized Health Care Education/Training Program | 4200 Douglas Street, Omaha, NE 68131 | 2018-03-20 |
| 1255475943 | Derek E Marshall | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202 | 2007-02-16 |
| 1386629194 | Derek Spencer Marshall Sr. | Dentist | 6200 Wilshire Blvd, #1709, Los Angeles, CA 90048-5801 | 2005-12-14 |
| Street Address |
1316 VIRGINIA ST E |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833823 | Shadi Adib Bashai | Student in an Organized Health Care Education/Training Program | 743 1/2 Washington St W, Charleston, WV 25302-1844 | 2020-08-24 |
| 1043837883 | Jacey Renee Dillon | Student in an Organized Health Care Education/Training Program | 2119 Stoner Dr W, Charleston, IL 61920-3723 | 2020-06-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1730718891 | Ryan Metts | Student in an Organized Health Care Education/Training Program | 211 Ashley Ave Apt B, Charleston, SC 29403-6859 | 2020-04-02 |
| 1598393506 | Khadija Naseem | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 3200 Maccorkle Avenue Southeast, Charleston, WV 25304-1208 | 2020-03-27 |
| 1235766411 | Abhishek Yadav | Student in an Organized Health Care Education/Training Program | 101 29th St Se Apt 20, Charleston, WV 25304-1149 | 2020-03-26 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1861027815 | Robert Bryce Robbins | Student in an Organized Health Care Education/Training Program | Search Results 171 Ashley Ave, Charleston, SC 29425-0001 | 2020-03-10 |
| 1700426343 | Mikaela Kiser | Student in an Organized Health Care Education/Training Program | 3813 Staunton Ave Se Unit A, Charleston, WV 25304-1537 | 2020-01-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on MR. DEREK MARSHALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.