DR. DOUGLAS LAWRENCE MARSH (NPI# 1790745966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790745966 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS LAWRENCE MARSH |
| Credential | D.O. |
| Practice Address |
18590 Allen Rd Melvindale MI 48122-1516 |
| Practice Telephone | 3139285000 |
| Practice Fax Number | 3139282215 |
| Mailing Telephone | 3139285000 |
| Mailing Fax Number | 3139282215 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
5101007923 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEA | AM1081025 | 01 |
| MI | STATE LICENSE | 5101007923 | 01 |
| MI | DEA | XM1081025 | 01 |
| Street Address |
18590 ALLEN RD |
| City | MELVINDALE |
| State | MI |
| Zip Code | 48122-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942840731 | Dimensions of Wellness, Inc., A Nonprofit Corporation | Counselor | 17461 Allen Rd, Melvindale, MI 48122-1026 | 2020-01-09 |
| 1801411590 | Tina M Gomez | Marriage & Family Therapist | 17461 Allen Rd, Melvindale, MI 48122-1026 | 2020-06-09 |
| 1447406319 | Marcella Marie Lane | Private Vehicle | 17625 Reed St, Melvindale, MI 48122-1142 | 2008-08-12 |
| 1467729046 | Rite Way Pharmacy | Pharmacist | 3600 Oakwood Blvd, Melvindale, MI 48122-1150 | 2011-11-25 |
| 1457776056 | Nwammiri Okorafor | Pharmacist | 3600 Oakwood Blvd, Melvindale, MI 48122-1150 | 2014-02-19 |
| 1154681054 | Gog Pharmacy Pllc | Pharmacy | 3600 Oakwood Blvd, Melvindale, MI 48122-1150 | 2012-05-24 |
| 1053684506 | Melvindale Family Dentistry | Dentist | 3113 Oakwood Blvd, Melvindale, MI 48122-1211 | 2012-02-14 |
| 1992881635 | I Dennis Potocsky Dds PC | Dentist | 3113 Oakwood, Melvindale, MI 48122-1211 | 2006-10-27 |
| 1144401811 | Ivan Dennis Potocsky | Dentist | 3113 Oakwood, Melvindale, MI 48122-1211 | 2007-11-21 |
| 1174567820 | City of Melvindale | Ambulance | 3160 Oakwood Blvd, Melvindale, MI 48122-1220 | 2006-06-15 |
| Find all providers in zip 48122 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836444 | White Lake Urgent Care | Family Medicine | 9178 Highland Rd Ste 1a, White Lake, MI 48386-4619 | 2019-08-18 |
| 1669665154 | Daniel A. Schwarz | Family Medicine | 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075-2653 | 2007-08-20 |
| 1134335359 | Jerry Avrum Appel | Family Medicine | 1720 South Hill Blvd, Bloomfield Township, MI 48304-1135 | 2007-05-15 |
| 1417099417 | Bio-med Behavioral Healthcare, Inc. | Family Medicine | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2007-02-13 |
| 1457469330 | Eric N. Coffman | Family Medicine | 27550 Joy Rd, Livonia, MI 48150-4145 | 2006-08-29 |
| 1598703621 | Carl Woodrow Christensen | Family Medicine | 4870 W Clark Rd Ste 201, Ypsilanti, MI 48197-1104 | 2006-06-02 |
| 1265498059 | Mark Allen Menestrina | Family Medicine | 12851 E Grand River, Brighton Hospital, Brighton, MI 48116-8596 | 2006-04-21 |
| 1952377566 | Bruce Henry Baker | Family Medicine | 3210 Eagle Run Dr, Suite 200, Grand Rapids, MI 49525 | 2006-02-23 |
| 1689275026 | Lindsey Ruth Mitchell | Family Medicine | 28477 Hoover Rd, Warren, MI 48093-5400 | 2020-11-03 |
| 1568084333 | Great Lakes Addiction Recovery Services Pllc | Family Medicine | 142 E Maumee St, Adrian, MI 49221-2735 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | MELVINDALE |
| Zip Code | 48122 |
Please comment or provide details below to improve the information on DR. DOUGLAS LAWRENCE MARSH.
| 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.