Marathon Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01038514 Issued in IN

Legal business name

MARATHON MEDICAL PC

Practice address

1306 E 7TH St
Suite C
Auburn, IN 46706-2536

Phone

(260) 925-0666

Fax

(920) 925-0669

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Trina C Chapman-Smith, M.D.

Title

Owner

Phone

(260) 925-0666

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1427011386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E 7TH ST",
            "address_2": "SUITE C",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062536",
            "telephone_number": "260-925-0666",
            "fax_number": "920-925-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 E 7TH ST",
            "address_2": "SUITE C",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062536",
            "telephone_number": "260-925-0666",
            "fax_number": "920-925-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN-SMITH",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-925-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01038514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200185690A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "000000104774",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Genesis Malin
• Mark S. Souder, M.D.
• Anna Rebecca Marr, M.S., D.D.S.
• Joy L Martin, FNP-BC
• Thomas P Mason, M.D.
• Kristen Matory-James, MSW, LSW

• Family Medicine Physician in Auburn, IN
• Providers in Auburn, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.