Healthcare Provider Details

I. General information

NPI: 1437773538
Provider Name (Legal Business Name): MARCUS ALLEN HEALEY MS, DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2020
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 WADSWORTH DR
NORTH CHESTERFIELD VA
23236-4510
US

IV. Provider business mailing address

223 WADSWORTH DR
NORTH CHESTERFIELD VA
23236-4510
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-4021
  • Fax: 804-330-4126
Mailing address:
  • Phone: 804-330-4021
  • Fax: 804-330-4126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0102209980
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: