Marion Surgeons, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

50000622A Issued in IN

Legal business name

MARION SURGEONS, INC

Practice address

1395 N Baldwin Ave
Marion, IN 46952-1913

Phone

(765) 664-3916

Fax

(765) 662-3411

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Edward L Keppler, M.D.NPI 1104828334

Title

President

Phone

(765) 664-3916

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Edward L Keppler, M.D.

  • Surgery Physician
  • Marion, IN
  • NPI 1104828334

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1174684138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521913",
            "telephone_number": "765-664-3916",
            "fax_number": "765-662-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521913",
            "telephone_number": "765-664-3916",
            "fax_number": "765-662-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "KEPPLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-664-3916",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "50000622A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion Occupational Medicine LLC
• Marion Oral & Maxillofacial Surgeons, Inc.
• Marion Oral & Maxillofacial Surgery, LLC
• Marion Pediatrics LLC
• Marion Physical Therapy Center Ind.
• Marion Vamc
• Marion Vamc
• Marlene Parker, Psy.D.,HSPP,P.C.
• Monika Marquart
• Elizabeth Marshall, LCSW

• Specialist in Marion, IN
• Providers in Marion, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.