NPIMap

Organization Active NPI

Physicians' Billing of MGH

  • Surgery Physician
  • Marion, IN
National Provider Identifier
1710118237
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PHYSICIANS' BILLING OF MGH
Doing business as
Douglas Rex, MD
Practice address
330 N Wabash
Suite 340
Marion, IN 46952-2678
Phone
(765) 664-3916
Fax
(765) 662-4724
NPI assigned
Jul 31, 2009
Organization subpart
Yes
Parent organization
MARION GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Mr. Paul L. Usher, FACHE, CPA, FHFMA
Title
President/Ceo
Phone
(765) 662-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

330 N Wabash
Suite 340
Marion, IN 46952-2678

Mailing address

1251 Kem Road
Suite E
Marion, IN 46952-2555
Phone (765) 662-4133

Other identifiers 1

IdentifierTypeStateIssuer
100269250MedicaidIN

Other names 1

  • Douglas Rex, MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phys Practice of MGH19 organizations share this tax ID, including this one
Part of
Phys Practice of MGH

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1251 W Kem Rd
Ste E
Marion, IN 46952

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1710118237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 KEM ROAD",
            "address_2": "SUITE E",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522555",
            "telephone_number": "765-662-4133",
            "fax_number": "765-651-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH",
            "address_2": "SUITE 340",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522678",
            "telephone_number": "765-664-3916",
            "fax_number": "765-662-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' BILLING OF MGH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION GENERAL HOSPITAL",
        "enumeration_date": "2009-07-31",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "765-662-4776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE, CPA, FHFMA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100269250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Rex, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.