Provider Demographics
NPI:1588774145
Name:MARSH, JOHN C (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:MARSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:619 SW CORPORATE VIEW
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1233
Mailing Address - Country:US
Mailing Address - Phone:785-235-3322
Mailing Address - Fax:785-246-6258
Practice Address - Street 1:619 SW CORPORATE VIEW
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1233
Practice Address - Country:US
Practice Address - Phone:785-235-3322
Practice Address - Fax:785-246-6258
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-26915207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100306510AMedicaid
KS180029280OtherPALMETTO GBA
KS051838OtherBCBS OF KS
KS051838OtherBCBS OF KS
KS100306510AMedicaid