Active NPI
Marcus M Dick, MD
- Anesthesiology Physician
- Terre Haute, IN
National Provider Identifier
1265530158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01032223
- Practice address
- 3903 S 7TH St
Suite 1F
Terre Haute, IN 47802 - Phone
- (812) 232-2032
- Fax
- (812) 232-8252
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01032223 | IN | Primary |
Addresses
Primary practice location
3903 S 7TH St
Suite 1F
Terre Haute, IN 47802
Mailing address
3903 S 7TH St
Suite 1F
Terre Haute, IN 47802
Phone (812) 232-2032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000093062 | Other | ANTHEM |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032223 | IN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265530158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 S 7TH ST",
"address_2": "SUITE 1F",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "47802",
"telephone_number": "812-232-2032",
"fax_number": "812-232-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 S 7TH ST",
"address_2": "SUITE 1F",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "47802",
"telephone_number": "812-232-2032",
"fax_number": "812-232-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "MARCUS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01032223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000093062",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.