MICHAEL BRYANT MARCUM (NPI# 1679775654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679775654 |
| Entity Type | Individual |
| Full Name | MICHAEL BRYANT MARCUM |
| Practice Address |
1465 Morris Lane Blue Run Rd # A Lucasville OH 45648-8701 |
| Practice Telephone | 7402599531 |
| Practice Fax Number | 7402599531 |
| Mailing Telephone | 7402599531 |
| Mailing Fax Number | 7402599531 |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 171WH0202X |
Contractor Specialization: Home Modifications |
VL73038714 | OH | Other Service Providers |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 2229743 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2229743 | 05 |
| Street Address |
1465 MORRIS LANE BLUE RUN RD # A |
| City | LUCASVILLE |
| State | OH |
| Zip Code | 45648-8701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558762138 | Cobra Pharmacy, LLC | Pharmacy | 37 C Lucasville-minford Road, Lucasville, OH 45648 | 2014-09-15 |
| 1366842221 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 10606 U.S. 23, Lucasville, OH 45648 | 2014-08-28 |
| 1720495260 | Stephanie Jordan | Contractor | 9500 Campcreek Rd, Lucasville, OH 45648 | 2014-07-16 |
| 1851630255 | Amy D Reeder | Occupational Therapy Assistant | 10098a Big Bearcreek, Lucasville, OH 45648 | 2013-02-05 |
| 1033458567 | Christopher E Holbrook Sr. | Durable Medical Equipment & Medical Supplies | 10324 Us Rte 23, Lucasville, OH 45648 | 2013-02-04 |
| 1366735953 | Health Maintenance Partners, Inc. | Clinic/Center | 10701 Us 23 South, Lucasville, OH 45648 | 2011-05-16 |
| 1154552271 | Dianne N Bragdon | Licensed Practical Nurse | 115 Borders Road, Lucasville, OH 45648 | 2009-08-06 |
| 1134368459 | Friends of Good Shepherd Manor | Intermediate Care Facility, Mentally Retarded | 374 Good Manor Rd, Lucasville, OH 45648 | 2009-02-10 |
| 1366688897 | Scioto Ambulance District | Ambulance | 7106 Big Bear Creek Road, Lucasville, OH 45648 | 2009-01-06 |
| 1831311422 | Cheryl Annette Frazier | Licensed Practical Nurse | 763 Dewey Ext, Lucasville, OH 45648 | 2007-05-03 |
| Find all providers in zip 45648 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821075 | Luberta Ann Banks | Contractor | 774 Noble Ave, Akron, OH 44320-3773 | 2020-11-06 |
| 1194323600 | Surendran Manoharan | Contractor | 3016 Hemlock Edge Dr, Hilliard, OH 43026-6915 | 2020-10-16 |
| 1891308169 | Brian J Fraley | Contractor | 1326 37th St Nw, Canton, OH 44709-2640 | 2020-08-26 |
| 1942824586 | Brandon H. Rhines | Contractor | 60 Merle Blvd, Munroe Falls, OH 44262-1640 | 2020-05-29 |
| 1710500913 | Helen Scott Custom Builders | Contractor | 165 5th St Se Ste B, Barberton, OH 44203-9001 | 2020-05-21 |
| 1164044913 | Christopher W Cook | Contractor | 3636 Creed Ave, Hubbard, OH 44425-9769 | 2020-05-15 |
| 1083242739 | Kimberly Ellen Hunt | Contractor | 1125 Salem Cave Rd, Beaver, OH 45613-9770 | 2020-03-30 |
| 1376179556 | Ohio Home Renovations | Contractor | 9220 Shawnee Trl, Powell, OH 43065-5012 | 2020-03-19 |
| 1700410222 | Home Improvemint LLC | Contractor | 2630 Hilliard Place Dr, Hilliard, OH 43026-8458 | 2020-02-24 |
| 1578118519 | Tameacko Angellic Preston | Contractor | 1075 Ellsworth Dr, Akron, OH 44313-5211 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
| City | LUCASVILLE |
| Zip Code | 45648 |
Please comment or provide details below to improve the information on MICHAEL BRYANT MARCUM.
| 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.