Active NPI
Marsha J Orcutt, M.D.
- Diagnostic Radiology Physician
- Memphis, TN
National Provider Identifier
1174573992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD43654
- Practice address
- 50 Humphreys Ctr
Suite 23
Memphis, TN 38120-2369 - Phone
- (901) 383-8860
- Fax
- (901) 383-8985
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35043632 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | MD43654 | TN | Primary |
Addresses
Primary practice location
50 Humphreys Ctr
Suite 23
Memphis, TN 38120-2369
Mailing address
P.O. Box 1000, Dept 34
Memphis, TN 38148-0001
Phone (901) 383-8860
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000066144 | Other | OH | ANTHEM |
| 64000102 | Medicaid | KY | |
| 200246580A | Medicaid | IN | |
| 0431134 | Medicaid | OH | |
| 1601325 | Other | OH | UHC |
| 1803386000 | Medicaid | WV | |
| 2378543 | Other | OH | AETNA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35043632 | OH | MD | Diagnostic Radiology Physician |
| MD43654 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Radiologist Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Kettering, OH
- NPI 1720037534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1174573992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1000, DEPT 34",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "901-383-8860",
"fax_number": "901-383-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 HUMPHREYS CTR",
"address_2": "SUITE 23",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202369",
"telephone_number": "901-383-8860",
"fax_number": "901-383-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORCUTT",
"first_name": "MARSHA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35043632",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "MD43654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000066144",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64000102",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200246580A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0431134",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1601325",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1803386000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2378543",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.