Provider Demographics
NPI:1023007184
Name:FEARING, MARSHA KAY (MD, MPH, MMSC)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:KAY
Last Name:FEARING
Suffix:
Gender:F
Credentials:MD, MPH, MMSC
Other - Prefix:DR
Other - First Name:MARSHA
Other - Middle Name:FEARING
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH, MMSC
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:SOUTHBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01550-0040
Mailing Address - Country:US
Mailing Address - Phone:508-909-7799
Mailing Address - Fax:508-764-2432
Practice Address - Street 1:100 SOUTH ST
Practice Address - Street 2:STE 102
Practice Address - City:SOUTHBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01550-4051
Practice Address - Country:US
Practice Address - Phone:508-765-7860
Practice Address - Fax:508-765-7861
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA214020208000000X, 207SG0201X, 207SG0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA214020OtherTUFTS HEALTH PLAN
MA0182931Medicaid
MAJ25574OtherBCBS OF MA
MAJ25574OtherBCBS OF MA
MA0182931Medicaid