MEDICARE: MARC S KIRSHNER D.O.

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	207L00000X	Anesthesiology Physician	3363	WV
2	207L00000X	Anesthesiology Physician	0102036962	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	050046864	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750300174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC S KIRSHNER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 17978
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-7978
Country	:	US
Telephone Number	:	804-289-4937
Fax Number	:

Provider Business Practice Location Address
First Line	:	7640 E PARHAM RD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4300
Country	:	US
Telephone Number	:	804-591-2200
Fax Number	:	804-591-2204

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	02/14/2019

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Directions to “ MARC S KIRSHNER D.O.” Practice Location

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