Active NPI
Community Hospitals of Indiana Inc
Doing business as Marnie Widdifield MD
- Family Medicine Physician
- Greenwood, IN
National Provider Identifier
1689692501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY HOSPITALS OF INDIANA INC
- Doing business as
- Marnie Widdifield MD
- Practice address
- 549 E County Line Road
Suite a
Greenwood, IN 46143-1068 - Phone
- (317) 497-6180
- Fax
- (317) 497-6184
- NPI assigned
- Jul 18, 2006
- Last updated
- Nov 27, 2009
- 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
- Jeffery Kirkham
- Title
- Cfo
- Phone
- (317) 355-5822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
549 E County Line Road
Suite a
Greenwood, IN 46143-1068
Mailing address
549 E County Line Road
Suite a
Greenwood, IN 46143-1068
Phone (317) 497-6180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC9810 | Other | IN | RR MEDICARE |
Other names 1
- Marnie Widdifield MD
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
549 E County Line Rd
Ste A
Greenwood, IN 46143
Phone (317) 497-6180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259280000000",
"number": "1689692501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 E COUNTY LINE ROAD",
"address_2": "SUITE A",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431068",
"telephone_number": "317-497-6180",
"fax_number": "317-497-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 E COUNTY LINE ROAD",
"address_2": "SUITE A",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431068",
"telephone_number": "317-497-6180",
"fax_number": "317-497-6184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2009-11-27",
"status": "A",
"authorized_official_last_name": "KIRKHAM",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "317-355-5822"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DC9810",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marnie Widdifield MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenwood, IN
- Community Hospitals of Indiana (Stacia Sorrell, MD)
- Community Hospitals of Indiana Inc (County Line Medical Pavilion)
- Community Hospitals of Indiana Inc (Community Center for Womens Health)
- Community Hospitals of Indiana Inc (Southside Adult Medicine)
- Community Hospitals of Indiana Inc (Greenwood Medical Associates)
- Community Hospitals of Indiana Inc (John Miller MD)
- Community Hospitals of Indiana, Inc (MedCheck Greenwood)
- Community Rehab Services Library Park
- Community Rehab Services South Park
- Felishia Compton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.