Active NPI
Jon D Marhenke MD Inc
- Psychiatry Physician
- Indianapolis, IN
National Provider Identifier
1508011008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01022803A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.