Active NPI
Marion Ancillary Services, LLC
- Orthotist
- Marion, OH
National Provider Identifier
1093718231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 4326110001
- Legal business name
- MARION ANCILLARY SERVICES, LLC
- Practice address
- 1050 Delaware Ave
Marion, OH 43302-6416 - Phone
- (740) 383-8022
- Fax
- (740) 383-7942
- NPI assigned
- May 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Paul Miller
- Title
- Executive Director
- Phone
- (740) 383-7922
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 4326110001 | OH | Primary |
| Orthotic Fitter | 225000000X | LO.10 | OH | |
| Physical Therapist | 225100000X | PT003405 | OH | |
| Pulmonary Function Technologist | 225B00000X | RCP.0800 | OH | |
| Occupational Therapist | 225X00000X | OT.002441 | OH | |
| Pathology Specialist/Technologist | 246Q00000X | 35057879 | OH | |
| EEG Specialist/Technologist | 246ZE0500X | RCP0800 | OH | |
| EEG Specialist/Technologist | 246ZE0500X | 2239705 | OH | |
| Radiologic Technologist | 247100000X | 257689 | OH | |
| Clinical Medical Laboratory | 291U00000X | OH |
Addresses
Primary practice location
1050 Delaware Ave
Marion, OH 43302-6416
Mailing address
PO Box 1827
Marion, OH 43301-1827
Phone (740) 383-8022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2239705 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Marion Ancillary Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Medicine & Rehabilitation Physician
- Marion, OH
- NPI 1538299326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1093718231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1827",
"city": "MARION",
"state": "OH",
"postal_code": "433011827",
"telephone_number": "740-383-8022",
"fax_number": "740-383-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DELAWARE AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026416",
"telephone_number": "740-383-8022",
"fax_number": "740-383-7942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION ANCILLARY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "740-383-7922"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": "OH",
"license": "4326110001",
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotic Fitter",
"state": "OH",
"license": "LO.10",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT003405",
"primary": false
},
{
"code": "225B00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pulmonary Function Technologist",
"state": "OH",
"license": "RCP.0800",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.002441",
"primary": false
},
{
"code": "246Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Pathology",
"state": "OH",
"license": "35057879",
"primary": false
},
{
"code": "246ZE0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": "OH",
"license": "RCP0800",
"primary": false
},
{
"code": "246ZE0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, EEG",
"state": "OH",
"license": "2239705",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": "OH",
"license": "257689",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2239705",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.