Kevin T Marble (NPI# 1891733127, PAC ID# 0547256828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1891733127 |
| PAC ID by PECOS | 0547256828 |
| Professional Enrollment ID | I20060918000089 |
| Full Name | Kevin T Marble |
| Organization Legal Name | CARRIS HEALTH - REDWOOD LLC |
| Address |
100 Fallwood Rd Redwood Falls MN 56283-1828 |
| Phone Number | 5076374500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 7911259619 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241322 | RAINY LAKE MEDICAL CENTER |
| 241377 | ST FRANCIS MEDICAL CENTER |
| 241351 | REDWOOD AREA HOSPITAL |
| 241325 | CHIPPEWA COUNTY HOSPITAL |
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 5076374500 | CARRIS HEALTH - REDWOOD LLC |
| Organization Legal Name | CARRIS HEALTH - REDWOOD LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean T Munnell | Family Medicine | Carris Health - Redwood LLC | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 |
| Street Address |
100 FALLWOOD RD |
| City | REDWOOD FALLS |
| State | MN |
| Zip | 56283-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean T Munnell | Family Medicine | Carris Health - Redwood LLC | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 |
| Amanda J Kittelson | Physician Assistant | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | |
| Ishan K Shah | Emergency Medicine | Redwood Area Hospital | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 |
| Conrad G Hanstein | Emergency Medicine | Redwood Area Hospital | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott T Hagen | Optometry | Avera Marshall | 500 E Bridge St, Redwood Falls, MN 56283-1168 |
| Brian D Boersma | Clinical Social Worker | Western Mental Health Center, Inc. | 205 S Mill St, Redwood Falls, MN 56283-1683 |
| Gloria M Andreasen | Clinical Social Worker | 221 S Mill St, Redwood Falls, MN 56283-1683 | |
| Chelsey A Rettmann | Chiropractic | 803 E Bridge St, Redwood Falls, MN 56283-1801 | |
| Merle C Phillips | Chiropractic | Chiro-plus, P.a. | 821 E Bridge St, Redwood Falls, MN 56283-1801 |
| James Walker Gudgel | Chiropractic | Chiro-plus, P.a. | 821 E Bridge St, Redwood Falls, MN 56283-1801 |
| Wayne E Gudgel | Chiropractic | Chiro-plus, P.a. | 821 E Bridge St, Redwood Falls, MN 56283-1801 |
| Isabel K Wilson | Optometry | Carris Health LLC | 1100 E Broadway St, Redwood Falls, MN 56283-2247 |
| Leah M Schammel | Dermatology | Carris Health LLC | 1100 E Broadway St, Redwood Falls, MN 56283-2247 |
| City | REDWOOD FALLS |
| Zip Code | 56283 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | REDWOOD FALLS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kevin T Marble.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.