Mark A Truax, MD
Individual provider Active NPI Family Medicine Physician · Jamestown, IN
NPI 1508802273 · NPPES record last updated Apr 15, 2021
Key facts
- NPI
- 1508802273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01032015A (IN)
- Practice address
- 1000 N Lebanon St
Jamestown, IN 46147-9372 - Phone
- (765) 676-5754
- Fax
- (765) 676-9853
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032015 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Medical Group LLC | Family Medicine | Past |
Accepting new patients |
| Athens Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01032015 | IN | |
| Family Medicine Physician | 207Q00000X | 01032015A | IN | Yes |
Addresses
Primary practice location
1000 N Lebanon St
Jamestown, IN 46147-9372
Mailing address
2705 N Lebanon St Ste 305
Lebanon, IN 46052-8622
Phone (765) 485-8852
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100324100 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.truax@whs.eclinicaldirectplus.com | Health Information Exchange (HIE) | Witham Memorial Hospital |
Other providers in Jamestown, IN
- Brandy Crum
- Savannah Harris
- Meghan Elizabeth Molway
- Premise Health of Indiana Medical, P.C.
- Deanna L Stopperich
All providers in Jamestown, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.