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PHILIP M MARDEN MD SC
NPI 1700996576
Pediatrics in Oconomowoc, WI

Active since August 30, 2006
340 SUMMIT AVENUE, OCONOMOWOC, WI 53066(262) 567-0366(262) 567-0368 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip M Marden Md Sc NPPES

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

PHILIP M MARDEN MD SC (NPI 1700996576) is a healthcare organization registered as a pediatrics in Oconomowoc, Wisconsin and active in the NPI registry since August 2006. The organization lists Philip Manuel Marden, President, as its authorized official.

NPPES Registry Identity

NPI1700996576
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePHILIP M MARDEN MD SC
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
Organization SubpartNo
Authorized OfficialPhilip Manuel MardenPresident · (262) 667-0366
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 6, 2012
✔ NPI 1700996576 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 17

Other=========019Blue Cross And Compcare
Medicare UPINB54821
Other213688One Health Plan
OtherMARDENPHIMercycare Health Plans
Other718112Managed Health Services
Other14664Medical License
OtherW003437Champus
Other112760524654Humana
Other52D0388538Clia Certificate
Other4308968Aetna
Other=========ZOUnity Health Insurance
Other1000283Physicians Plus Insurance
Other1200110United Health Care
Other12659Dean Health Plan
Other=========AHumana
OtherAS68366510001Cigna
Medicaid31212300WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. PHILIP M MARDEN MD
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 M Marden MD Sc's NPI number?

The NPI number for Philip M Marden MD Sc is 1700996576. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Philip M Marden MD Sc located?

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

What is Philip M Marden MD Sc'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 M Marden MD Sc was last updated on December 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.