Active NPI
Marion Independent Physicians Association, LLC
- Family Medicine Physician
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC
- Practice address
- 30D Executive Drive
Marion, OH 43302-6310 - Phone
- (740) 387-7793
- Fax
- (740) 387-7795
- NPI assigned
- Jun 2, 2006
- Last updated
- Jun 28, 2021
- Organization subpart
- Yes
- Parent organization
- MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Srinivas Ravi
- Title
- MD
- Phone
- (740) 387-7793
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Anesthesiology Physician | 207L00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Neurology Physician | 2084N0400X | |||
| Psychiatry Physician | 2084P0800X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Podiatrist | 213E00000X | |||
| Physical Therapist | 225100000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
30D Executive Drive
Marion, OH 43302-6310
Mailing address
P.O. Box 887
Marion, OH 43301-0887
Phone (740) 223-3496
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104136 | Medicaid | OH | |
| 2105279 | Medicaid | OH | |
| 2105331 | Medicaid | OH | |
| 2105359 | Medicaid | OH | |
| 2105242 | Medicaid | OH | |
| 2104127 | Medicaid | OH | |
| 2105251 | Medicaid | OH | |
| 2105386 | Medicaid | OH | |
| 2105475 | Medicaid | OH | |
| 2105519 | Medicaid | OH | |
| 2105288 | Medicaid | OH | |
| 2105224 | Medicaid | OH | |
| 2105322 | Medicaid | OH | |
| 2105411 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Marion Independent PH
Locations
1021 Harding Memorial Pkwy
Marion, OH 43302
Phone (740) 387-4037
1065 Delaware Ave
Ste 159
Marion, OH 43302
Phone (614) 382-1270
1069 Delaware Ave
Ste 103
Marion, OH 43302
Phone (614) 382-5541
1069 Delaware Ave
Ste 205
Marion, OH 43302
Phone (740) 223-3496
1167 Independence Ave
Ste 100
Marion, OH 43302
Phone (740) 378-7200
125 Executive Dr
Marion, OH 43302
Phone (740) 401-0880
125 Executive Dr
Ste 202
Marion, OH 43302
125 Executive Dr
Ste 207
Marion, OH 43302
Phone (740) 223-8056
300 Executive Dr
Marion, OH 43302
Phone (740) 387-7793
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Marion, OH
- NPI 1649249749
-
- Nurse Practitioner
- Delaware, OH
- NPI 1417925983
-
- Hematology & Oncology Physician
- Marion, OH
- NPI 1811965668
Internal Medicine
-
- Anesthesiology Physician
- Marion, OH
- NPI 1043288715
-
- Psychiatry Physician
- Marion, OH
- NPI 1720056484
-
- Family Medicine Physician
- Marion, OH
- NPI 1902868813
-
- Family Medicine Physician
- Richwood, OH
- NPI 1487615514
-
- Pain Medicine (Anesthesiology) Physician
- Hilliard, OH
- NPI 1275596553
-
- Physical Therapist
- Marion, OH
- NPI 1184778219
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619945490
-
- General Practice Physician
- Upper Sandusky, OH
- NPI 1376512426
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1710925045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 887",
"city": "MARION",
"state": "OH",
"postal_code": "433010887",
"telephone_number": "740-223-3496",
"fax_number": "740-383-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30D EXECUTIVE DRIVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026310",
"telephone_number": "740-387-7793",
"fax_number": "740-387-7795"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARION INDEPENDENT PHYSICIANS ASSOCIATION, LLC",
"enumeration_date": "2006-06-02",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "RAVI",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "740-387-7793"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104136",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105279",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105331",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105359",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105242",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104127",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105251",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105386",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105475",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105519",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105288",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105224",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105322",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2105411",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
- Marion Hearing Aid Center
- Marion Hospitalists Services, LLC
- Marion Independent Physicians Association, LLC
- Marion Independent Physicians Association, LLC
- Marion Independent Physicians Association, LLC
- Marion Independent Physicians Association, LLC
- Marion Manor Nursing Home
- Marion OB GYN Inc
- Marion Opco LLC (Marion Rehabilitation)
- Marion Orthopedics Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.