Organization Active NPI

Economan & Associates Family Medicine Inc.

  • Family Medicine Physician
  • Marion, IN
National Provider Identifier
1578828745
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02000601A Issued in IN
Legal business name
ECONOMAN & ASSOCIATES FAMILY MEDICINE INC.
Practice address
707 N River Dr
Marion, IN 46952-2765
Phone
(765) 667-3526
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Dr. Dale W Economan, DONPI 1295705234
Title
President
Phone
(765) 438-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 02000601A IN Primary

Addresses

Primary practice location

707 N River Dr
Marion, IN 46952-2765

Mailing address

1316 N Sheridan Rd
Marion, IN 46952-1810

National Provider Directory

National Provider Directory

Locations

707 N River Dr
Marion, IN 46952
Phone (765) 573-5999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1578828745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 N SHERIDAN RD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522765",
            "telephone_number": "765-667-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMAN & ASSOCIATES FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "ECONOMAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-438-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000601A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 2, 2012; 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.