Provider Demographics
NPI:1013978220
Name:MARKER, MARNIE J (MD)
Entity Type:Individual
Prefix:
First Name:MARNIE
Middle Name:J
Last Name:MARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:58 16TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3660
Mailing Address - Country:US
Mailing Address - Phone:304-242-7751
Mailing Address - Fax:304-242-7254
Practice Address - Street 1:58 16TH ST
Practice Address - Street 2:SUITE 500
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3660
Practice Address - Country:US
Practice Address - Phone:304-234-1751
Practice Address - Fax:304-234-1752
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35078494M207RN0300X
WV20225207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001720769OtherMT ST BLUE CROSS BS
WV1803054000Medicaid
WV78494OtherHPUOV
OH2205152Medicaid
WV390007375Medicare ID - Type UnspecifiedMEDICARE RAILROAD
OH2205152Medicaid
WV1803054000Medicaid
OH4033301Medicare ID - Type Unspecified