ADVANCED GYNECOLOGY & WELLNESS – NPI #1386978062
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ADVANCED GYNECOLOGY & WELLNESS is a provider located in BRISTOL, TN. NPPES has assigned the NPI number 1386978062 to ADVANCED GYNECOLOGY & WELLNESS on September 28, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED GYNECOLOGY & WELLNESS” is a dba name, the actual legal business name for this organization is MARDEN MEDICAL, PLLC. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 16 years ago on Mar 29, 2010. 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 ADVANCED GYNECOLOGY & WELLNESS below.

NPI Profile for
MARDEN MEDICAL, PLLC

NPI Number
1386978062
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARDEN MEDICAL, PLLC
Doing Business As (dba): ADVANCED GYNECOLOGY & WELLNESS
Primary location
1 MEDICAL PARK BLVD
SUITE 205E
BRISTOL, TN 37620-7430
Phone: (423) 844-5640 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID MARDEN
DOCTOR
Phone: (423) 844-5640
Updated
Identifiers

Identifiers for ADVANCED GYNECOLOGY & WELLNESS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN1516542
MEDICAIDVA1386978062
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
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)		 TN DO0000001214

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.