Individual provider Active NPI

Thomas W Marshall, MD

  • Orthopaedic Surgery Physician
  • Columbus, IN
National Provider Identifier
1548299969
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1023359 Issued in IN
Practice address
940 N Marr Rd
Suite C
Columbus, IN 47201-2610
Phone
(812) 376-9353
Fax
(812) 376-3757
NPI assigned
Jun 30, 2006
Last updated
Jan 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 1023359 IN Primary

Addresses

Primary practice location

940 N Marr Rd
Suite C
Columbus, IN 47201-2610

Mailing address

940 N Marr Rd
Suite C
Columbus, IN 47201-2610
Phone (812) 376-9353

Other identifiers 4

IdentifierTypeStateIssuer
003681OtherIL003681
100051640MedicaidIN
000000195429OtherINANTHEM
200040853OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100416000696 IN Practitioner - Orthopedic Surgery 8820079726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1023359INMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Orthopedics Current Accepting new patients
Southern Indiana Orthopedics Inc Orthopaedic Surgery CurrentSince Aug 14, 2017 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4665 N US Highway 31
Columbus, IN 47201
Phone (812) 343-2755

940 N Marr Rd
Columbus, IN 47201
Phone (812) 372-1370

940 N Marr Rd
Ste C
Columbus, IN 47201
Phone (812) 343-2755

1810 Commercial Dr
North Vernon, IN 47265
Phone (812) 346-1500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1548299969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N MARR RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N MARR RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-376-9353",
            "fax_number": "812-376-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "1023359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "003681",
            "identifier": "003681",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100051640",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000195429",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200040853",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.