ANTHONY MARL DO PLLC (NPI# 1396751061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396751061 |
| Entity Type | Organization |
| Organization Name | ANTHONY MARL DO PLLC |
| Practice Address |
1505 Waterford Pkwy Saint Johns MI 48879-9630 |
| Mailing Address |
1122 Pacific Ave Lansing MI 48910-3565 |
| Practice Telephone | 9892271621 |
| Mailing Telephone | 5173161063 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANTHONY E MARL (OWNER) |
| Authorized Official Telephone | 5173161063 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101015680 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1505 WATERFORD PKWY |
| City | SAINT JOHNS |
| State | MI |
| Zip Code | 48879-9630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594179 | Jennifer Alejandra Lantz | Psychologist | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2020-10-08 |
| 1275142010 | Alexia Lunetta | Social Worker | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2020-07-28 |
| 1326656372 | Mark A Caswell | Counselor | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2020-07-15 |
| 1497306633 | Anthony Michael Benedict | Counselor | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2019-09-27 |
| 1053977470 | Robin Padilla | Counselor | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2019-05-10 |
| 1700350774 | Kayla Marie Durocher | Social Worker | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2019-01-14 |
| 1396218194 | Hannah Lee Poore | Social Worker | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2019-01-04 |
| 1245715382 | Emma Elizabeth Kahrs | Social Worker | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2018-09-25 |
| 1740763424 | Caitlin R Mosley | Counselor | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2018-09-10 |
| 1598253874 | Maggie Valade | Psychologist | 1505 Waterford Pkwy, Saint Johns, MI 48879-9630 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
| 1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
| 1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
| 1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
| 1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
| 1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
| 1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
| 1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
| Find all providers in zip 48879 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982891529 | Ryan Christopher Stoner | Internal Medicine | 112 Ellsworth Cir, Saint Johns, FL 32259-7228 | 2007-09-27 |
| 1952458101 | Adli Karadsheh | Internal Medicine | 805 Reston Ct, Saint Johns, FL 32259-6913 | 2007-01-03 |
| 1154495323 | St. Johns Internal Medicine PC | Internal Medicine | 108 W Higham St, Saint Johns, MI 48879-1559 | 2006-11-20 |
| 1548361249 | Johns S. Mac Donald, Md PC | Internal Medicine | 110 W Higham St, Saint Johns, MI 48879-1559 | 2006-09-26 |
| 1225146046 | Brahmaiah P Rajesh | Internal Medicine | 306 E Elm St, Steb, Saint Johns, MI 48879-2347 | 2006-08-29 |
| 1447759972 | Eudiamondia, Pllc | Internal Medicine | 112 Ellsworth Cir, Saint Johns, FL 32259-7228 | 2018-02-10 |
| 1376059352 | Tnt Medical Surgical Group Inc | Internal Medicine | 450 State Road 13 Ste 106, Saint Johns, FL 32259-3863 | 2017-12-28 |
| 1811294549 | Mid-michigan Physicians, PC | Internal Medicine | 901 S Oakland St, Suite 101, Saint Johns, MI 48879-2200 | 2011-02-15 |
| 1366756231 | Rajani Gundluru | Internal Medicine | 901 S Oakland St, Saint Johns, MI 48879-2200 | 2010-08-03 |
| 1003980277 | Christopher T Beal | Internal Medicine | 110 W Higham St, Saint Johns, MI 48879-1559 | 2006-11-20 |
| Find all providers in SAINT JOHNS | ||||
| City | SAINT JOHNS |
| Zip Code | 48879 |
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| 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.