MEDICARE: MR. THOMAS MARX DO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101238253	VA
2	208M00000X	Hospitalist Physician	A78702	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	184440	OTHER	VA	BLUE CROSS BLUE SHIELD
2	254185	OTHER	VA	KAISER PERMANENTE
3	496675	OTHER	VA	MDIPA OPTIMUM CHOICE
4	A78702	OTHER	CA	MEDICAL STATE LICENSE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346280245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS MARX DO MD

Provider Business Mailing Address
First Line	:	3400 DATA DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7956
Country	:	US
Telephone Number	:	916-861-1486
Fax Number	:

Provider Business Practice Location Address
First Line	:	8120 TIMBERLAKE WAY STE 107
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5413
Country	:	US
Telephone Number	:	916-681-6000
Fax Number	:	916-681-6188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/13/2020

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Directions to “ MR. THOMAS MARX DO MD” Practice Location

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