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DR. MICHAEL D. MARSH M.D.
NPI 1003878646
Pediatrics - Adolescent Medicine in Weatherford, TX

Active since April 06, 2006Opted out of Medicare · through Apr 1, 2027CLIA 45D1015704 · Waiver
1929 FORT WORTH HWY, WEATHERFORD, TX 76086(817) 596-3531(817) 596-8822 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael D. Marsh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL D. MARSH M.D. (NPI 1003878646) is an individual adolescent medicine provider in Weatherford, Texas, licensed in Texas (K2068) and active in the NPI registry since April 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through August 11, 2027.

NPPES Registry Identity

NPI1003878646
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MICHAEL D. MARSHCredential: M.D.
Location Address1929 FORT WORTH HWYWeatherford, TX 76086-4703
Mailing Address1929 Fort Worth HwyWeatherford, TX 76086-4703 · (817) 596-3531 · Fax (817) 596-8822
Phone(817) 596-3531
Fax(817) 596-8822
Sole ProprietorYes
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003878646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in TX · K2068
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1929 FORT WORTH HWY, Weatherford, TX 76086
Open in Google Maps ↗

Other Identifiers 2

OtherK2068TX · State License
Medicare UPINH77413TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Michael D. Marsh M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1015704

Michael Marsh MD PA · Weatherford, TX
Active · expires Aug 11, 2027
CLIA Number45D1015704
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorMichael D. Marsh
Laboratory Phone(817) 596-3531
Laboratory LocationMichael Marsh MD PA1929 Fort Worth Hwy, Weatherford, TX 76086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Marsh's NPI number?

The NPI number for Michael Marsh is 1003878646. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Michael Marsh located?

Michael Marsh practices at 1929 Fort Worth Hwy, Weatherford, TX 76086. The listed phone number is (817) 596-3531.

What is Michael Marsh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Michael Marsh enrolled in Medicare?

No. Michael Marsh has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Michael Marsh hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1015704) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael Marsh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.