Individual provider Active NPI

Marianne Lindroth, M.D.

  • Family Medicine Physician
  • Columbus, IN
National Provider Identifier
1548314198
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1051703A Issued in IN
Practice address
605 Cottage Ave
Columbus, IN 47201-6074
Phone
(812) 377-6020
Fax
(812) 377-6024
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1051703A IN Primary

Addresses

Primary practice location

605 Cottage Ave
Columbus, IN 47201-6074

Mailing address

205 Miller Springs Courtq
Attn:Cbo
Franklin, TN 37064-5434
Phone (615) 468-6548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1051703AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of New Jersey Medical PC Past Accepting new patients
Premise Health of New Jersey Medical PC Past Accepting new patients
Premise Health of Illinois Medical PC PastSince Feb 1, 2012 Accepting new patients
Premise Health of New Jersey Medical, P.C Past Accepting new patients
Premise Health of New Jersey Medical PC Past Accepting new patients
Premise Health of New Jersey Medical PC Past Accepting new patients
Premise Health of New Jersey Medical PC Past Accepting new patients
Premise Health of New Jersey Medical PC Past Accepting new patients
Premise Health of New Jersey Medical, P.C Past Accepting new patients
Premise Health of Pennsylvania Medical PC PastSince Mar 22, 1990 Accepting new patients
Premise Health of New Jersey Medical PC Past Accepting new patients
Premise Health of New Jersey Medical PC Past Accepting new patients

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1548314198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MILLER SPRINGS COURTQ",
            "address_2": "ATTN:CBO",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645434",
            "telephone_number": "615-468-6548",
            "fax_number": "615-296-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 COTTAGE AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016074",
            "telephone_number": "812-377-6020",
            "fax_number": "812-377-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDROTH",
        "first_name": "MARIANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "1051703A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.