DR. HORACE NEWELL MARVIN JR. (NPI# 1881750784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881750784 |
| Entity Type | Individual |
| Full Name | DR. HORACE NEWELL MARVIN JR. |
| Credential | MD |
| Practice Address |
12647 Olive Blvd Correctional Medical Svcs Inc St Louis MO 63141 |
| Mailing Address |
Po Box 188 Locust Grove AR 72550 |
| Practice Telephone | 8702973368 |
| Practice Fax Number | 8702974371 |
| Mailing Telephone | 8702514583 |
| Mailing Fax Number | 8706689380 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C4440 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
12647 OLIVE BLVD CORRECTIONAL MEDICAL SVCS INC |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730355140 | R Sara Bucaro | Social Worker | 12647 Olive Blvd, Suite 600, St Louis, MO 63141 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588088157 | Medstaffpc | Family Medicine | 12633 Olive Blvd, St Louis, MO 63141-6313 | 2014-02-18 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1750401253 | Ellen T Loeffler | Family Medicine | 8670 Big Bend Road, Suite A, St Louis, MO 63119-3730 | 2007-03-29 |
| 1710012729 | Des Peres Family Medicine | Family Medicine | 2325 Dougherty Ferry Rd Suite 104, St Louis, MO 63122-3356 | 2007-02-22 |
| 1265597397 | Lavert Morrow | Family Medicine | 6826 Natural Bridge, St Louis, MO 63121 | 2006-12-27 |
| 1609960566 | Glennon Joseph Fox | Family Medicine | 777 South New Ballas Rd, 231e, St Louis, MO 63141-8747 | 2006-10-03 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1659483170 | Shawn Lewis Berkin | Family Medicine | 5524 Telegraph Road, Suite 101, St Louis, MO 63129 | 2006-08-31 |
| 1700870441 | Donald E. Schnurpfeil | Family Medicine | 5701 Delmar Blvd., St Louis, MO 63112-2617 | 2005-09-08 |
| 1699869461 | Felix Emmanuel Herrera | Family Medicine | 2901 Union Road, Ste 100, St Louis, MO 63125 | 2006-10-03 |
| Find all providers in ST LOUIS | ||||
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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.