Individual provider Active NPI

Corin Marshall

  • Pediatrics Physician
  • Greenwood, IN
National Provider Identifier
1649624529
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01082248A Issued in IN
Practice address
1703 W Stones Crossing Rd Ste 330
Greenwood, IN 46143-8558
Phone
(317) 887-6060
Fax
(317) 859-5944
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01082248A IN Primary

Addresses

Primary practice location

1703 W Stones Crossing Rd Ste 330
Greenwood, IN 46143-8558

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

203 E University Ave
Unit 3A
Cincinnati, OH 45219-2449
Phone (419) 889-0466

Other practice location 2

1001 Hadley Rd Ste Ll050
Mooresville, IN 46158-1883
Phone (317) 834-3502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmarshall436962@Direct.FranciscanAlliance.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703000626 IN Practitioner - Pediatric Medicine 7416248463 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Aug 1, 2019 Accepting new patients
Franciscan Physician Network CurrentSince Aug 1, 2019 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

1703 W Stones Crossing Rd
Ste 330
Greenwood, IN 46143
Phone (317) 887-6060

1001 Hadley Rd
Ste LL50
Mooresville, IN 46158
Phone (317) 834-1010

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: cmarshall436962@direct.franciscanalliance.org

Organizations & group practices 3

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1649624529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W STONES CROSSING RD STE 330",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438558",
            "telephone_number": "317-887-6060",
            "fax_number": "317-859-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 E University Ave",
            "address_2": "Unit 3A",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192449",
            "country_code": "US",
            "telephone_number": "419-889-0466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Hadley Rd Ste Ll050",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "IN",
            "postal_code": "461581883",
            "country_code": "US",
            "telephone_number": "317-834-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CORIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01082248A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmarshall436962@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1703 W Stones Crossing Rd Ste 330",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461438558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.