Physician Compare National (NPI:1861748717)

HEALTHCARE PROVIDER: VICKY JASMINE MARSH DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861748717
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224396395
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180106000033
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARSH
	Individual professional last name
Provider First Name	VICKY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4101 N HOSPITAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 211
	Group Practice or individual's line 2 address
City	PLANTATION
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	333172840
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y