Marion Pediatrics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MARION PEDIATRICS LLC

Practice address

1411 W Bella Dr
Marion, IN 46953-5250

Phone

(765) 668-5989

Fax

(765) 651-6642

NPI assigned

Oct 18, 2006

Last updated

Jun 18, 2008By 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

Mrs. Donna J Maggard

Title

Account Manager

Phone

(765) 668-5989

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

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.

• Paul D Wolfe, MD

  • Pediatrics Physician
  • Marion, IN
  • NPI 1669410411
  NPD
• Kathryn D Anderson, CPNP-PC

  • Nurse Practitioner
  • Marion, IN
  • NPI 1821277641
  NPD (past)
• Randi D Bragg, NP

  • Family Nurse Practitioner
  • Marion, IN
  • NPI 1700420031
  NPD (past)
• Almira Sue Brown

  • Pediatric Nurse Practitioner
  • Marion, IN
  • NPI 1245318690
  NPD (past)
• Megan Marie Krom, FNP-C

  • Nurse Practitioner
  • Wabash, IN
  • NPI 1124773171
  NPD (past)
• Melissa Sue Lora, MD

  • Pediatrics Physician
  • Marion, IN
  • NPI 1952502452
  NPD (past)
• Courtney Reeder

  • Nurse Practitioner
  • Marion, IN
  • NPI 1427507805
  NPD (past)
• Hannah Renfrow, NP-C

  • Pediatric Nurse Practitioner
  • Marion, IN
  • NPI 1487022810
  NPD (past)
• Misty Marie Stevens, FNP-C

  • Nurse Practitioner
  • Marion, IN
  • NPI 1487382719
  NPD (past)
• Kabuiya R Mugera, M.D.

  • Pediatrics Physician
  • Frederick, MD
  • NPI 1558315630
  NPD (past)
• Hester Suh, M.D.

  • Pediatrics Physician
  • Shreveport, LA
  • NPI 1407042435
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1497836340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W BELLA DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535250",
            "telephone_number": "765-668-5989",
            "fax_number": "765-651-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W BELLA DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469535250",
            "telephone_number": "765-668-5989",
            "fax_number": "765-651-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MAGGARD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "765-668-5989",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200458820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion General Hospital (Marion General Hospital Ambulance Service)
• Marion General Radiology, Inc.
• Marion Occupational Medicine LLC (Marion Primary Care)
• Marion Oral & Maxillofacial Surgeons, Inc.
• Marion Oral & Maxillofacial Surgery, LLC
• Marion Physical Therapy Center Ind.
• Marion Surgeons, Inc
• Marion Vamc
• Marion Vamc
• Marlene Parker, Psy.D.,HSPP,P.C.

• Specialist in Marion, IN
• Providers in Marion, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.