Organization Active NPI

Medical Associates of Grant County, P.C.

  • Gastroenterology Physician
  • Marion, IN
National Provider Identifier
1437236148
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
50003969A Issued in IN
Legal business name
MEDICAL ASSOCIATES OF GRANT COUNTY, P.C.
Practice address
610 N River Dr
Marion, IN 46952-2649
Phone
(765) 662-9870
Fax
(765) 662-9907
NPI assigned
Nov 1, 2006
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Dr. Daniel Tupas Barrido Jr., M.D.NPI 1154338564
Title
President
Phone
(765) 662-9870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 50003969A IN Primary

Addresses

Primary practice location

610 N River Dr
Marion, IN 46952-2649

Mailing address

610 N River Dr
Marion, IN 46952-2649
Phone (765) 662-9870

Other identifiers 1

IdentifierTypeStateIssuer
200207310MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1437236148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522649",
            "telephone_number": "765-662-9870",
            "fax_number": "765-662-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522649",
            "telephone_number": "765-662-9870",
            "fax_number": "765-662-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF GRANT COUNTY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "BARRIDO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "TUPAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-662-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "50003969A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200207310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.