Active NPI
Merle Lawrence Zumwalt, MD
- General Practice Physician
- Logansport, IN
National Provider Identifier
1427272590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01033621B
- Practice address
- 729 High St
Logansport Juvenile Facility
Logansport, IN 46947 - Phone
- (574) 753-5549
- Fax
- (574) 722-1274
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01033621B | IN | Primary |
Addresses
Primary practice location
729 High St
Logansport Juvenile Facility
Logansport, IN 46947
Mailing address
7339 Indian Mound Trail
Battle Ground, IN 47920-9720
Phone (765) 567-4642
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 |
|---|---|---|---|
| 01033621B | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427272590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7339 INDIAN MOUND TRAIL",
"city": "BATTLE GROUND",
"state": "IN",
"postal_code": "479209720",
"telephone_number": "765-567-4642",
"fax_number": "574-722-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 HIGH ST",
"address_2": "LOGANSPORT JUVENILE FACILITY",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "46947",
"telephone_number": "574-753-5549",
"fax_number": "574-722-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMWALT",
"first_name": "MERLE",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01033621B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logansport, 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.