Active NPI
Major Medical Group LLC
- Family Medicine Physician
- Shelbyville, IN
National Provider Identifier
1629314653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MAJOR MEDICAL GROUP LLC
- Practice address
- 1626 E State Rd 44
Ste a
Shelbyville, IN 46176-4057 - Phone
- (317) 421-2012
- NPI assigned
- Dec 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Claxton
- Title
- Practice Administrator
- Phone
- (317) 398-5252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1626 E State Rd 44
Ste a
Shelbyville, IN 46176-4057
Mailing address
30 W Rampart St
Suite 200
Shelbyville, IN 46176-8846
Phone (317) 421-2012
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1626 E State Road 44
Ste 24
Shelbyville, IN 46176
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Shelbyville, IN
- NPI 1770511305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525651200000",
"number": "1629314653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W RAMPART ST",
"address_2": "SUITE 200",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768846",
"telephone_number": "317-421-2012",
"fax_number": "317-398-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 E STATE RD 44",
"address_2": "STE A",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461764057",
"telephone_number": "317-421-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAJOR MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-19",
"last_updated": "2018-05-07",
"status": "A",
"authorized_official_last_name": "CLAXTON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "317-398-5252"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.