MICHAEL J. MARVIN M.D. – NPI #1114983152
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

MICHAEL MARVIN is a physician located in CANTON, OH. NPPES has assigned the NPI number 1114983152 to MICHAEL MARVIN on April 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 4 years ago on Jun 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL MARVIN below.

NPI Profile for
MICHAEL J. MARVIN

NPI Number
1114983152
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL J. MARVIN
Credentials
M.D.
Primary location
3730 WHIPPLE AVE NW
CANTON, OH 44718-4803
Phone: (330) 491-9675 Fax: (330) 491-1682
Mailing address
7421 FARMDALE AVE NW
NORTH CANTON, OH 44720-8803
Phone: (330) 494-3225 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
OH 35-04-8464-M
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine
OH 35-04-8464-M

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3730 WHIPPLE AVE NW,
CANTON, OH 77025-1669