MARION INDEPENDENT PHYSICIANS ASSOCIATION LLC NPI 1710925045

NPI Information

NPI: 1710925045
Provider Name: MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D1011024

Address:
30D EXECUTIVE DRIVE
MARION, OH
ZIP 43302
Phone: (740) 387-7793
Get Directions

MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC is a family medicine in Marion, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC NPI is 1710925045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30D EXECUTIVE DRIVE
MARION, OH
ZIP 43302-310
Phone: (740) 387-7793
Fax: (740) 387-7795

The provider's authorized official is Srinivas Ravi .
The authorized official title is Md and has the following contact phone number (740) 387-7793.

The CLIA number assigned to this NPI record is 36D1011024 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 6/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	133V00000X	Dietitian, Registered		No
2	207L00000X	Anesthesiology		No
3	207Q00000X	Family Medicine		Yes
4	207R00000X	Internal Medicine		No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	No
6	207RH0003X	Internal Medicine	Hematology & Oncology	No
7	207X00000X	Orthopaedic Surgery		No
8	2084N0400X	Psychiatry & Neurology	Neurology	No
9	2084P0800X	Psychiatry & Neurology	Psychiatry	No
10	208600000X	Surgery		No
11	208800000X	Urology		No
12	213E00000X	Podiatrist		No
13	225100000X	Physical Therapist		No
14	363A00000X	Physician Assistant		No
15	363L00000X	Nurse Practitioner		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2105288	MEDICAID	OHIO
2	2105322	MEDICAID	OHIO
3	2104136	MEDICAID	OHIO
4	2105242	MEDICAID	OHIO
5	2105411	MEDICAID	OHIO
6	2104127	MEDICAID	OHIO
7	2105331	MEDICAID	OHIO
8	2105359	MEDICAID	OHIO
9	2105224	MEDICAID	OHIO
10	2105279	MEDICAID	OHIO
11	2105386	MEDICAID	OHIO
12	2105475	MEDICAID	OHIO
13	2105251	MEDICAID	OHIO
14	2105519	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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