DR. JACK STEWART MARQUIS (NPI# 1801821335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801821335 |
| Entity Type | Individual |
| Full Name | DR. JACK STEWART MARQUIS |
| Credential | D.P.M. |
| Practice Address |
3610 Watermelon Rd Suite 103 Northport AL 35473-5170 |
| Practice Telephone | 2053459218 |
| Practice Fax Number | 2053452952 |
| Mailing Telephone | 2053459218 |
| Mailing Fax Number | 2053452952 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
123 | AL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3610 WATERMELON RD SUITE 103 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35473-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215960927 | Davis & Davis, Clinical Psychologists, PC | Psychologist | 3610 Watermelon Rd, Suite 105, Northport, AL 35473-5170 | 2006-07-08 |
| 1437207727 | Extended Foot Care Services, LLC | Podiatrist | 3610 Watermelon Rd, Suite 103, Northport, AL 35473-5170 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1316585219 | Cerra Jordan Jackson | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2019-12-11 |
| 1033609748 | Kara Lynne Pate | Nurse Practitioner | 5710 Watermelon Rd Ste 600, Northport, AL 35473 | 2018-05-17 |
| 1134619059 | Vanessa Graves | Social Worker | 521 Energy Center Blvd Ste 1506, Northport, AL 35473 | 2018-05-16 |
| 1164930939 | Brandi Nail Hubbard | Family Medicine | 5004 Al-69, Northport, AL 35473 | 2018-01-16 |
| 1831554104 | Danielle Paulos | Pharmacist | 5137 Northcliff Dr, Northport, AL 35473 | 2015-12-30 |
| 1629497508 | Lauren Hanley | Nurse Practitioner | 4280 Watermelon Rd Ste 110, Northport, AL 35473 | 2014-04-08 |
| 1528372802 | Communication Advantage | Speech-Language Pathologist | 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 | 2010-07-29 |
| 1144467309 | Caroline J Day | Family Medicine | 5710 Watermelon Road, Suite 600, Northport, AL 35473 | 2009-01-09 |
| 1538311196 | Northridge Dialysis Center, LLC | Clinic/Center | 4400 Watermelon Road, Northport, AL 35473 | 2008-10-15 |
| Find all providers in zip 35473 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576494 | Anz Gould Investments, Inc. | Podiatrist | 2818 Lurleen B Wallace Blvd, Northport, AL 35476-3249 | 2006-12-20 |
| 1033175690 | Advanced Foot Health Centers, Inc | Podiatrist | 2315 Lurleen B Wallace Blvd, Northport, AL 35476-3947 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699560 | Dr. Barry J. Gould, Podiatry Consultants, LLC- | Podiatrist | 641 Kings Mountain Rd, Tuscaloosa, AL 35406-2824 | 2016-10-12 |
| 1003253188 | Southeast Podiatry PC | Podiatrist | 1318 S Main St, Atmore, AL 36502-2834 | 2013-05-29 |
| 1023455102 | Southeast Podiatry PC | Podiatrist | 610 Douglas Ave, Brewton, AL 36426-1812 | 2013-05-29 |
| 1467647446 | Advanced Foot Care PC | Podiatrist | 348 Saint Lukes Dr, Montgomery, AL 36117-7108 | 2007-09-12 |
| 1275686305 | Hadryan H Vaughn | Podiatrist | 4709 Woodmere Blvd, Montgomery, AL 36106-3078 | 2007-01-20 |
| 1497819536 | Douglas D Stewart | Podiatrist | 1649 Highway 22 West, Suite One, Alexander City, AL 35010-4412 | 2006-12-21 |
| 1962572198 | Debra D. Morgan | Podiatrist | 1714 W 3rd St, Montgomery, AL 36106-1506 | 2006-11-08 |
| 1467536763 | Southeast Podiatry PC | Podiatrist | 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | 2006-10-24 |
| 1841203957 | Brett S Stark | Podiatrist | 890 N Dean Rd Ste 400, Auburn, AL 36830-9440 | 2006-08-14 |
| 1518993310 | Lashonda Moore | Podiatrist | 220 Fort Dale Rd, Greenville, AL 36037-1502 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
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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.