ROBERT GORDON MARSH (NPI# 1679570287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679570287 |
Entity Type | Individual |
Full Name | ROBERT GORDON MARSH |
Credential | ARNP |
Practice Address |
1059 Barton Dr Fordland MO 65652-7350 |
Mailing Address |
718 Patterson Rd Rogersville MO 65742-8096 |
Practice Telephone | 4177672273 |
Practice Fax Number | 4177674054 |
Mailing Telephone | 4177537084 |
Mailing Fax Number | 4177674054 |
Enumeration Date | 2005-06-29 |
Last Update Date | 2019-12-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 938462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN 105886 | MO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP 938462 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN105886 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 428189617 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821359233 | Robert Marsh | Nurse Practitioner | 114 Alexandria Way, Basking Ridge, NJ 07920-2764 | 2012-06-01 |
1700197282 | Robert R. Marsh | Social Worker | 458 Jefferson Ave, Glencoe, IL 60022-1862 | 2010-06-29 |
1225357171 | Robert Wayne Marsh | Physical Therapy Assistant | 4725 Woodlake Dr, Allison Park, PA 15101-1027 | 2010-05-18 |
1659428019 | Robert Marsh | Family Medicine | 2401 Indian Rd W, Minnetonka, MN 55305-2221 | 2007-01-05 |
1215959499 | Robert Marsh | Chiropractor | 526 Gallivan Blvd, Dorchester Center, MA 02124-5401 | 2006-07-24 |
1366903361 | Robert Marsh | Nurse Anesthetist, Certified Registered | 3801 Spring St, Mount Pleasant, WI 53405-1667 | 2019-03-31 |
1679964050 | Robert C Marsh | Physical Therapy Assistant | 1900 Oates Dr, Mesquite, TX 75150-6862 | 2015-02-06 |
1639414089 | Robert T Marsh | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2012-12-11 |
1730494238 | Robert John Marsh Jr. | Nurse Practitioner | 2209 Genesee St, Hospitalist Program, Utica, NY 13501-5930 | 2010-08-10 |
1992986434 | Robert Anthony Marsh | Neurological Surgery | 1 Medical Center Dr, Suite 4300, Morgantown, WV 26506-9183 | 2007-11-26 |
Street Address |
1059 BARTON DR |
City | FORDLAND |
State | MO |
Zip Code | 65652-7350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811420888 | Michelle Young | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2017-04-06 |
1891147104 | Debby Sue Carl | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2016-07-11 |
1154762649 | Lorena Leone | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2013-07-11 |
1003254087 | Erin Elizabeth Duvall | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2013-06-12 |
1922356823 | Stephane Counts | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2012-08-27 |
1467731018 | Theresa Anne Griffith | Counselor | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-08-14 |
1295022341 | Robert Daniel Dunavant | Dentist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-07-08 |
1164718227 | Tina Nichole Drozdowski | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2011-06-27 |
1073637757 | Fordland Clinic, Inc. | Clinic/Center | 1059 Barton Dr, Fordland, MO 65652-7350 | 2007-03-19 |
1003930207 | Erin K Rickman | Dental Hygienist | 1059 Barton Dr, Fordland, MO 65652-7350 | 2007-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437708351 | Sherry Kensinger | Technician | 133 Meadowbrook Ln, Fordland, MO 65652-7204 | 2019-09-04 |
1588904247 | Joseph Byers | Family Medicine | 3181 Green Hill Rd, Fordland, MO 65652-7283 | 2013-02-18 |
1275793002 | Dave Gooden | Social Worker | 1194 Green Hill Rd, Fordland, MO 65652-8253 | 2008-06-16 |
1093235640 | Brewer Counseling, LLC | Interpreter | 317 Sparrowhawk Rd, Fordland, MO 65652-8382 | 2017-06-25 |
1346380326 | Fordland R-3 School Dist | Physical Therapist | 1230 School St, Fordland, MO 65652-9208 | 2007-02-07 |
1740828102 | Regional Services | Nurse Practitioner | 1230 School St, Fordland, MO 65652-9208 | 2019-12-17 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740828102 | Regional Services | Nurse Practitioner | 1230 School St, Fordland, MO 65652-9208 | 2019-12-17 |
1891147104 | Debby Sue Carl | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2016-07-11 |
1003254087 | Erin Elizabeth Duvall | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2013-06-12 |
1922356823 | Stephane Counts | Nurse Practitioner | 1059 Barton Dr, Fordland, MO 65652-7350 | 2012-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
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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.