Organization Active NPI

Marden Physician Services, Inc

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1609842707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARDEN PHYSICIAN SERVICES, INC
Practice address
1120 Polaris Pkwy
Suite 202
Columbus, OH 43240-4042
Phone
(614) 433-0264
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Connolly
Title
VP of Finance & Cfo
Phone
(740) 373-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1120 Polaris Pkwy
Suite 202
Columbus, OH 43240-4042

Mailing address

200 Putnam St
Suite 800
Marietta, OH 45750-3005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609842707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PUTNAM ST",
            "address_2": "SUITE 800",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 POLARIS PKWY",
            "address_2": "SUITE 202",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404042",
            "telephone_number": "614-433-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARDEN PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP OF FINANCE & CFO",
        "authorized_official_telephone_number": "740-373-9446",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.