Organization Active NPI

Dr Marc R Klein Inc

  • Podiatrist
  • Middletown, OH
National Provider Identifier
1033395579
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001710 Issued in OH
Legal business name
DR MARC R KLEIN INC
Practice address
34 N Breiel Blvd
Middletown, OH 45042-3804
Phone
(513) 423-7231
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marc R KleinNPI 1699779553
Title
DPM
Phone
(513) 423-7231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36001710 OH Primary

Addresses

Primary practice location

34 N Breiel Blvd
Middletown, OH 45042-3804

Mailing address

34 N Breiel Blvd
Middletown, OH 45042-3804
Phone (513) 423-7231

Other identifiers 3

IdentifierTypeStateIssuer
2853256MedicaidOH
480031087OtherOHRAILROAD MEDICARE
DN9820OtherOHRAILROAD MEDICARE GROUP

Other names 1

  • Marc R Klein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080326000470 OH Part B Supplier - Clinic/Group Practice 1254417686 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, OH
O20100930090673 OH DME Supplier - Physician - Podiatry 1254417686 Practice locations: Middletown, OH

National Provider Directory

National Provider Directory

Locations

34 N Breiel Blvd
Middletown, OH 45042
Phone (513) 423-4231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1033395579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423804",
            "telephone_number": "513-423-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423804",
            "telephone_number": "513-423-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARC R KLEIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "513-423-7231"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2853256",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480031087",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DN9820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marc R Klein",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.