Marietta Medical LTD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

35.063586 Issued in OH

Legal business name

MARIETTA MEDICAL LTD

Practice address

101 Putnam St
Marietta, OH 45750-2924

Phone

(740) 236-1232

Fax

(740) 236-9191

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Roger D Anderson, MD

Title

Owner

Phone

(740) 236-1232

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1245651207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PUTNAM ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502924",
            "telephone_number": "740-236-1232",
            "fax_number": "740-236-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PUTNAM ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502924",
            "telephone_number": "740-236-1232",
            "fax_number": "740-236-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-236-1232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "14185",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.063586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Health Care Systems, Inc.
• Marietta Healthcare, LLC
• Marietta Home Health and Hospice, L.L.C.
• Marietta Home Health and Hospice, L.L.C.
• Marietta Imaging Inc
• Marietta Memorial Hospital
• Marietta Memorial Hospital
• Marietta Memorial Hospital
• Marietta Memorial Hospital
• Marietta Memorial Hospital

• Infectious Disease Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Infectious Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.