DR. EDWARD LEE MARSHALL JR. (NPI# 1639106677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639106677 |
Entity Type | Individual |
Full Name | DR. EDWARD LEE MARSHALL JR. |
Credential | DPT, ECS, OCS, R.NCS |
Practice Address |
6091 Toursome Dr Mount Airy MD 21771-8015 |
Practice Telephone | 3012525380 |
Practice Fax Number | 3018293211 |
Mailing Telephone | 3012525380 |
Mailing Fax Number | 3018293211 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2020-01-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
17821-54217 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
17821 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 401298400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972743904 | Edward Morris Marshall | Internal Medicine | 3763 Regal Vista Dr, Sherman Oaks, CA 91403-4802 | 2009-03-04 |
1982822581 | Edward S. Marshall | Clinical Neuropsychologist | 8515 Pearl St Ste 204, Thornton, CO 80229-4809 | 2007-04-22 |
1972601979 | Edward T Marshall Jr. | Dentist | 3075 Smith Road, Suite 102, Akron, OH 44333 | 2006-09-21 |
1568457729 | Edward Charles Marshall | Dentist | 41258 Margarita Rd, Temecula, CA 92591-5554 | 2005-09-14 |
1275188484 | Edward Albert Marshall Jr. | Physical Medicine & Rehabilitation | 224 East Wilson Street, Wingate, NC 28174 | 2019-08-05 |
1831482116 | Edward Marshall | Community Health Worker | 321 Cassidy St, Oceanside, CA 92054-5314 | 2011-05-19 |
1235338534 | Edward Owsley Marshall | Psychologist | 100 Veterans Dr, Wilmore, KY 40390-9775 | 2007-07-16 |
Street Address |
6091 TOURSOME DR |
City | MOUNT AIRY |
State | MD |
Zip Code | 21771-8015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932241064 | Marshall Physical Therapy P A | Physical Therapist | 6091 Toursome Dr, Mount Airy, MD 21771-8015 | 2007-02-13 |
1013075001 | Marci Lynn Marshall | Physical Therapist | 6091 Toursome Dr, Mount Airy, MD 21771-8015 | 2006-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
1902112352 | Sun M Park | Pharmacist | 415 East Ridgeville Blvd, Rite Aid #3822, Mt Airy, MD 21771 | 2010-08-24 |
1255589743 | Ronald Giles Manzer | Dentist | 106 Prospect Rd., Suite 5, Mt. Airy, MD 21771 | 2008-09-09 |
1689834079 | Megan Marshall Putman | Physician Assistant | 504 E. Ridgeville Blvd, Suite 120, Mt. Airy, MD 21771 | 2008-06-10 |
1215075924 | Karen Elizabeth Polichene | Chiropractor | 3039 Gillis Falls Rd, Mt Airy, MD 21771 | 2007-02-02 |
1710040985 | Hali Anderson | Physical Therapist | 431 E Ridgeville Blvd, Mt Airy, MD 21771 | 2006-12-19 |
1831288786 | Ronald E Miller | Internal Medicine | 4 Culwell Drive, Mt Airy, MD 21771 | 2006-10-11 |
1679665624 | Peter James Mellon | Chiropractor | 13002 Penn Shop Road, Mt Airy, MD 21771 | 2006-09-28 |
1447222336 | Norman Franklin Fine | Optometrist | 1311 S. Main St. Ste 104, Mount Airy, MD 21771 | 2006-02-03 |
1922453109 | Jessica Medani | Internal Medicine | 504 E Ridgeville Blvd, Mount Airy, MD 21771 | 2016-04-26 |
Find all providers in zip 21771 |
Taxonomy Code | 2251E1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Electrophysiology, Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356425938 | W James Downs Jr Pt Pa | Physical Therapist | 406 Marvel Ct, Easton, MD 21601-4052 | 2006-10-24 |
City | MOUNT AIRY |
Zip Code | 21771 |
Please comment or provide details below to improve the information on DR. EDWARD LEE MARSHALL JR..
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.