Marion Area Neurological Consulting

Primary specialty

SpecialistTaxonomy code 174400000X

License

35051174K Issued in OH

Legal business name

MARION AREA NEUROLOGICAL CONSULTING

Doing business as

Marion Area Neurological Consulting

Practice address

1728 Marion Waldo Rd
Suite B
Marion, OH 43302-7457

Phone

(740) 725-8300

Fax

(740) 725-1213

NPI assigned

Nov 20, 2007

Last updated

Oct 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesse B. Kellum Jr., M.D.

Title

M.D. Owner

Phone

(740) 725-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marion Area Neurological Consulting Doing business as

Locations

Practitioners 2

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.

• Sylvi Kyllikki Koso, MD

  • Ophthalmology Physician
  • Mount Vernon, OH
  • NPI 1144297557
  NPD (past)
• Chad Ryan Kauffman, D.O.

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1568581155
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1437330388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 MARION WALDO RD",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027457",
            "telephone_number": "740-725-8300",
            "fax_number": "740-725-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 MARION WALDO RD",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027457",
            "telephone_number": "740-725-8300",
            "fax_number": "740-725-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION AREA NEUROLOGICAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "KELLUM",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "M.D. OWNER",
        "authorized_official_telephone_number": "740-725-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35051174K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0599580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Area Neurological Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marion Chiropractic Clinic
• Marion City School District

• Specialist in Marion, OH
• Providers in Marion, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.