DON A MARSHALL JR. (NPI# 1144274275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144274275 |
| Entity Type | Individual |
| Full Name | DON A MARSHALL JR. |
| Credential | MD |
| Practice Address |
3010 E State Blvd Sutie 100 Fort Wayne IN 46805-4700 |
| Practice Telephone | 2604710632 |
| Practice Fax Number | 2604713451 |
| Mailing Telephone | 2604710632 |
| Mailing Fax Number | 2604713451 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
01038606A | IN | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01038606A | IN | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
01038606A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | VALUE OPT | 063909 | 01 |
| OH | 0944554 | 05 | |
| IN | ANTHEM HIP | 93110 | 01 |
| IN | PCCM | 10082250B | 01 |
| IN | 100082250B | 05 | |
| IN | PHP | 3382 | 01 |
| IN | COMPSYCH | 119094 | 01 |
| IN | MPLAN & 3 RIVERS | 000000006472 | 01 |
| IN | ANTHEM BCBS | 000000093110 | 01 |
| IN | HEALTHPLUS | 01008583 | 01 |
| IN | MEGELLAN | 01652800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770537 | Don G Marshall | Dentist | 707 W Francis Ave, Ste 200, Spokane, WA 99205-6401 | 2005-06-16 |
| Street Address |
3010 E STATE BLVD SUTIE 100 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366494031 | Victor K Fitch | Chiropractor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2006-05-17 |
| 1639797699 | Rebecca Ann Bohn | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2020-07-07 |
| 1700419744 | Paige Katherine Walker | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2020-02-18 |
| 1053839027 | Kerry Lee Mills | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2017-08-30 |
| 1649543729 | Shannon Waltersharvey | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2012-02-20 |
| 1770898744 | Melissa M Koske | Counselor | 3010 E State Blvd, #600, Fort Wayne, IN 46805-4700 | 2010-08-13 |
| 1548499726 | David Douglas Thaxton | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2009-07-08 |
| 1437387537 | Rita Irene Polivick | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2009-06-26 |
| 1487881884 | Marilyn Ann Barlag | Social Worker | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2009-06-12 |
| 1407003726 | David Allen Vernon Wilson | Counselor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407166077 | Professional Psychiatric Services, LLC | Psychiatry & Neurology | 6203 Constitution Dr, Fort Wayne, IN 46804-1517 | 2010-10-18 |
| 1023233939 | David T Holmes Md PC | Psychiatry & Neurology | 7224 Engle Rd # 120, Fort Wayne, IN 46804-2222 | 2007-04-16 |
| 1447303326 | Joseph Paul Fiacable | Psychiatry & Neurology | 2426 Lake Ave, Fort Wayne, IN 46805-5406 | 2007-01-22 |
| 1013072180 | Raj Clinics Professional Services Corporation | Psychiatry & Neurology | 315 Airport North Office Park, Fort Wayne, IN 46825-6703 | 2006-12-27 |
| 1588676415 | S. Christopher Shim | Psychiatry & Neurology | 415 E Cook Rd Ste 500, Fort Wayne, IN 46825-3657 | 2006-08-12 |
| 1316980576 | Ronald Jerry Pancner | Psychiatry & Neurology | 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 | 2006-06-14 |
| 1790762078 | Alycia Brown | Psychiatry & Neurology | 1818 Carew St Ste 230, Fort Wayne, IN 46805-4764 | 2005-12-28 |
| 1417940909 | Mahender Reddy Surakanti | Psychiatry & Neurology | 7806 W Jefferson Blvd Ste C, Fort Wayne, IN 46804 | 2005-08-30 |
| 1245237411 | Prevesh K Rustagi | Psychiatry & Neurology | 3400 E Coliseum Blvd, Suite 340, Fort Wayne, IN 46805-1644 | 2005-07-03 |
| 1619377280 | Vinita Prasad | Psychiatry & Neurology | 1818 Carew St Ste 230, Fort Wayne, IN 46805 | 2014-09-02 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.