Organization Active NPI

Community Hospitals of Indiana Inc

Doing business as Marnie Widdifield MD

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1689692501
Registry record updated Nov 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DC9810OtherINRR MEDICARE

Other names 1

  • Marnie Widdifield MD Doing business as

National Provider Directory

National Provider Directory

Member 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

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.

Verify at the official NPI Registry.