Provider Demographics
NPI:1164421848
Name:HOWELL, MARSHALL G III (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:G
Last Name:HOWELL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4199 GATEWAY BLVD
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-8940
Mailing Address - Country:US
Mailing Address - Phone:812-858-4610
Mailing Address - Fax:812-858-4611
Practice Address - Street 1:4199 GATEWAY BLVD
Practice Address - Street 2:SUITE 2300
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8940
Practice Address - Country:US
Practice Address - Phone:812-858-4610
Practice Address - Fax:812-858-4611
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01042310A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200422200AMedicaid
INF93288Medicare UPIN
IN200422200AMedicaid