Active NPI
Marvin R. Huff, DO
- Family Medicine Physician
- Carlisle, IA
National Provider Identifier
1114987120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-02861
- Practice address
- 2755 S. Gateway Drive
Carlisle, IA 50047-2301 - Phone
- (515) 358-7300
- Fax
- (515) 358-7341
- NPI assigned
- Mar 24, 2006
- Last updated
- Dec 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-02861 | IA | Primary |
Addresses
Primary practice location
2755 S. Gateway Drive
Carlisle, IA 50047-2301
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-7300
Other practice location 1
2755 S. Gateway Drive
Carlisle, IA 50047-2301
Phone (515) 989-3221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1114987120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-358-7300",
"fax_number": "515-358-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 S. GATEWAY DRIVE",
"city": "CARLISLE",
"state": "IA",
"postal_code": "500472301",
"telephone_number": "515-358-7300",
"fax_number": "515-358-7341"
}
],
"practiceLocations": [
{
"address_1": "2755 S. Gateway Drive",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "IA",
"postal_code": "500472301",
"country_code": "US",
"telephone_number": "515-989-3221",
"fax_number": "515-989-4518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUFF",
"first_name": "MARVIN",
"middle_name": "R.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-02861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.