Active NPI
Corey Christopher Marchant
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 02006748A
- Practice address
- 1402 E County Line Rd
Indianapolis, IN 46227-0963 - Phone
- (317) 887-7805
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 11021220A | IN | |
| Anesthesiology Physician | 207L00000X | 02006748A | IN | Primary |
Addresses
Primary practice location
1402 E County Line Rd
Indianapolis, IN 46227-0963
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547
Other practice location 1
8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-6399
Other practice location 2
1130 W Michigan St # Fh204
Indianapolis, IN 46202-5209
Phone (317) 274-0076
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Marian University College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1402 E County Line Rd
Indianapolis, IN 46227-0963
Phone (317) 887-7113
1402 E County Rd S
Suite 2400
Indianapolis, IN 46227-0963
Phone (317) 497-6666
1440 E County Line Rd
Indianapolis, IN 46227-0963
416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141
7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006748A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Anesthesiology | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000
Interoperability endpoints
- cmarchant661911@direct.parkviewexchange.com
Organizations & group practices 4
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.
-
dba Cameron Anesthesiology
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
Anesthesiology
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
dba Community Hospital South
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1598226078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 E COUNTY LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462270963",
"telephone_number": "317-887-7805"
}
],
"practiceLocations": [
{
"address_1": "8414 Naab Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601972",
"country_code": "US",
"telephone_number": "317-338-6399",
"fax_number": "317-338-6359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1130 W Michigan St # Fh204",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025209",
"country_code": "US",
"telephone_number": "317-274-0076",
"fax_number": "317-274-0256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCHANT",
"first_name": "COREY",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11021220A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "02006748A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.