Organization Active NPI

Jon D Marhenke MD Inc

  • Psychiatry Physician
  • Indianapolis, IN
National Provider Identifier
1508011008
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01022803A Issued in IN
Legal business name
JON D MARHENKE MD INC
Practice address
6515 E. 82ND Street
#207
Indianapolis, IN 46250-1544
Phone
(317) 578-5344
Fax
(317) 578-5345
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Jon D Marhenke, MD
Title
Owner
Phone
(317) 578-5344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 01022803A IN Primary

Addresses

Primary practice location

6515 E. 82ND Street
#207
Indianapolis, IN 46250-1544

Mailing address

6515 E. 82ND Street
#207
Indianapolis, IN 46250-1544
Phone (317) 578-5344

National Provider Directory

National Provider Directory

Locations

6515 E 82nd St
Ste 207
Indianapolis, IN 46250
Phone (317) 578-5344

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1508011008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 E. 82ND STREET",
            "address_2": "#207",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501544",
            "telephone_number": "317-578-5344",
            "fax_number": "317-578-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 E. 82ND STREET",
            "address_2": "#207",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501544",
            "telephone_number": "317-578-5344",
            "fax_number": "317-578-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON D MARHENKE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "MARHENKE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-578-5344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01022803A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.