BRUCE ALLEN MARSHALL (NPI# 1548373392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548373392 |
| Entity Type | Individual |
| Full Name | BRUCE ALLEN MARSHALL |
| Credential | MD |
| Practice Address |
101 N 1st St Springfield IL 62781-0001 |
| Mailing Address |
6450 Reliable Parkway Chicago IL 60686 |
| Practice Telephone | 2176224693 |
| Practice Fax Number | 2177885556 |
| Mailing Telephone | 2177883000 |
| Mailing Fax Number | 2177885577 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 684895 | 01 |
| IL | RR MEDICARE GROUP | C12333 | 01 |
| IL | HEALTH ALLIANCE | 011112 | 01 |
| IL | IL BLUE CROSS BLUE SHIELD | 08415043 | 01 |
| IL | PERSONAL CARE ID | 32017 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771733 | Bruce Ian Marshall | Dentist | 41 Mountainview Dr, Chester, NY 10918-3106 | 2005-06-23 |
| 1275862989 | Bruce C Marshall | Pharmacist | 7400 Fannin St Ste 120, Houston, TX 77054-1950 | 2009-12-09 |
| 1114933256 | Bruce Edward Marshall | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 | 2006-07-31 |
| 1104862127 | Bruce Marshall | Internal Medicine | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-06-20 |
| 1407809866 | Bruce Marshall | Emergency Medicine | 4700 Waters Ave, Savannah, GA 31404-6220 | 2006-05-18 |
| 1578564688 | Bruce A Marshall | Surgery | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 | 2005-08-10 |
| Street Address |
101 N 1ST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1992187934 | Kelli Levek | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2015-06-26 |
| 1386048502 | Bhadreshkumar R. Mandani | Family Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-10-17 |
| 1801215231 | Robert Matthew Tennill | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-04-14 |
| 1851739684 | Mateusz Serafin | Hospitalist | 701 N 1st St, Springfield, IL 62781 | 2013-06-14 |
| 1538506357 | Sapna Siddharth | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-06-03 |
| 1336586734 | Rakshit Ramanath Shetty | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-05-28 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801118385 | Springfield Group Inc | Pathology | 215 E Sunshine St Ste 1, Springfield, MO 65807-2652 | 2010-02-24 |
| 1497824460 | Maryam Mohammadkhani | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-06 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1831202688 | Gregory Darrell Akers | Pathology | 701 North First St, Memorial Medical Center, Springfield, IL 62781-0002 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1801812078 | Oregon Urology Institute PC | Pathology | 2400 Hartman Ln Ste 200, Springfield, OR 97477-1122 | 2006-07-14 |
| 1174564587 | Associated Pathologists Ltd | Pathology | 800 E. Carpenter St., Springfield, IL 62769-0001 | 2006-06-08 |
| 1558324905 | Michael J Castro | Pathology | Memorial Medical Ctr, 701 North 1st Street, Springfield, IL 62781-0001 | 2006-04-07 |
| 1538571138 | Olga A Krasnozhen-ratush | Pathology | 759 Chestnut Street, Springfield, MA 01107-1619 | 2014-05-30 |
| 1487072484 | Sohaib Abu-farsakh | Pathology | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2014-04-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
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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.