NPIMap

Organization Active NPI

Physicians' Billing of MGH

  • Physical Medicine & Rehabilitation Physician
  • Marion, IN
National Provider Identifier
1518146703
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PHYSICIANS' BILLING OF MGH
Doing business as
MGH Specialty Physicians
Practice address
330 N Wabash Ave
Suite 430
Marion, IN 46952-2686
Phone
(765) 671-3153
Fax
(765) 671-3155
NPI assigned
Oct 24, 2007
Organization subpart
Yes
Parent organization
MARION GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Paul L Usher, FACHE, CPA, FHFMA
Title
President/Ceo
Phone
(765) 662-4776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

330 N Wabash Ave
Suite 430
Marion, IN 46952-2686

Mailing address

1251 W Kem Rd
Suite E
Marion, IN 46952-2555
Phone (765) 662-4133

Other identifiers 1

IdentifierTypeStateIssuer
100269250MedicaidIN

Other names 1

  • MGH Specialty Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phys Practice of MGH19 organizations share this tax ID, including this one
Part of
Phys Practice of MGH

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1518146703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 W KEM RD",
            "address_2": "SUITE E",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522555",
            "telephone_number": "765-662-4133",
            "fax_number": "765-251-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE",
            "address_2": "SUITE 430",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522686",
            "telephone_number": "765-671-3153",
            "fax_number": "765-671-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' BILLING OF MGH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION GENERAL HOSPITAL",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-662-4776",
        "authorized_official_credential": "FACHE, CPA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGH Specialty Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.