Marjorie Ebenezer, M.D. MPH

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35.093334 Issued in OH

Practice address

877 Pelham CT
Westerville, OH 43081-5577

Phone

(614) 841-9086

Fax

(614) 841-9086

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: marjorie.ebenezer.1@15614.direct.athenahealth.com

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1336537570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296423",
            "telephone_number": "614-262-5094",
            "fax_number": "614-262-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 PELHAM CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430815577",
            "telephone_number": "614-841-9086",
            "fax_number": "614-841-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBENEZER",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "M.D. MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.093334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.