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DR. PHILIP M MARDEN MD
NPI 1073659546
Pediatrics in Oconomowoc, WI

Active since January 30, 2007
340 SUMMIT AVENUE, OCONOMOWOC, WI 53066(262) 567-0366(262) 567-0368 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Philip M Marden Md NPPES

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

DR. PHILIP M MARDEN MD (NPI 1073659546) is an individual pediatrics provider in Oconomowoc, Wisconsin, licensed in Wisconsin (14664) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073659546
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PHILIP M MARDENCredential: MD
Location Address340 SUMMIT AVENUEOconomowoc, WI 53066-3747
Mailing Address340 Summit AvenueOconomowoc, WI 53066-3747 · (262) 567-0366 · Fax (262) 567-0368
Phone(262) 567-0366
Fax(262) 567-0368
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 5, 2012
✔ NPI 1073659546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 14664
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License 14664 (WI)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 14664 (WI)
340 SUMMIT AVENUE, Oconomowoc, WI 53066
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Other Identifiers 15

Other14664WI · St Of Wis Medical License
Medicare UPINB54821
Medicare ID-Type Unspecified000068053
Other12659Dean Health Plan
OtherW003437Champus
Other52D0388538Clia Certificate
OtherAS68366510001Cigna
OtherMARDENPHIMercycare Health Plans
Other213688One Health Plan
Other112760524654Humana
Other1200110United Healthcare
Other4308968Aetna
Other718112Managed Health Services
Other1000283Physicians Plus Insurance
Medicaid31212300WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP M MARDEN MD SC
Pediatrics
340 SUMMIT AVENUE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-0366

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 Philip Marden's NPI number?

The NPI number for Philip Marden is 1073659546. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Philip Marden located?

Philip Marden practices at 340 Summit Avenue, Oconomowoc, WI 53066. The listed phone number is (262) 567-0366.

What is Philip Marden's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Philip Marden was last updated on December 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.