Terrol D Marshall (NPI# 1861442998, PAC ID# 4789655648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1861442998 |
| PAC ID by PECOS | 4789655648 |
| Professional Enrollment ID | I20040824001144 |
| Full Name | Terrol D Marshall |
| Organization Legal Name | BLUE MOUNTAIN FOOT SPECIALISTS INC |
| Address |
714 Sw Dorion Ave Suite 1 Pendleton OR 97801-2086 |
| Phone Number | 5412762372 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8426023649 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381319 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 46314 Timine Way, Pendleton, OR 97801-9417 | 5419669830 | YELLOWHAWK TRIBAL HEALTH CENTER |
| 714 Sw Dorion Ave, Suite 1, Pendleton, OR 97801-2086 | 5412762372 | BLUE MOUNTAIN FOOT SPECIALISTS INC |
| Organization Legal Name | BLUE MOUNTAIN FOOT SPECIALISTS INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Fletcher Byrd | Podiatry | Blue Mountain Foot Specialists Inc | 714 Sw Dorion Ave, Suite 1, Pendleton, OR 97801-2086 |
| Street Address |
714 SW DORION AVE SUITE 1 |
| City | PENDLETON |
| State | OR |
| Zip | 97801-2086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Fletcher Byrd | Podiatry | Blue Mountain Foot Specialists Inc | 714 Sw Dorion Ave, Suite 1, Pendleton, OR 97801-2086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek James Blankenship | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
| Michelle M Monkman | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
| Clayton M Briscoe | Optometry | Vision Source Pendleton, LLC | 1815 Sw Emigrant Ave, Pendleton, OR 97801-1843 |
| Renata A Anderson | Qualified Audiologist | 2237 Sw Court Ave, Pendleton, OR 97801-1896 | |
| Conan S Fisher | Chiropractic | 424 Sw 6th St, Pendleton, OR 97801-2026 | |
| Gary Zimmerman | Chiropractic | 409 Sw 4th St, Suite A, Pendleton, OR 97801-2069 | |
| Debra A Obrien | Clinical Social Worker | 135 Se 1st St, Pendleton, OR 97801-2203 | |
| Daniel E Eslinger | Nurse Practitioner | 125 Se 1st St, Pendleton, OR 97801-2203 | |
| Stephanie C Evans | Psychologist, Clinical | 135 Se 1st St, Pendleton, OR 97801-2203 | |
| Terrel L Templeman | Psychologist, Clinical | 135 Se 1st St, Pendleton, OR 97801-2203 | |
| Find all physicians in zip 97801 | |||
| City | PENDLETON |
| Zip Code | 97801 |
| Specialty | PODIATRY |
| City + Specialty | PENDLETON + PODIATRY |
Please comment or provide details below to improve the information on Terrol D Marshall.
| 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.