Individual provider Active NPI

Marvin R. Huff, DO

  • Family Medicine Physician
  • Carlisle, IA
National Provider Identifier
1114987120
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-02861 Issued in IA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.