Active NPI
Terry Weston Marsh, M.D.
- Dermatology Physician
- Muncie, IN
National Provider Identifier
1710943410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 01031077A
- Practice address
- 401 W McGalliard Rd
Muncie, IN 47303-1828 - Phone
- (765) 288-6200
- Fax
- (765) 288-4131
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 01031077A | IN | Primary |
Addresses
Primary practice location
401 W McGalliard Rd
Muncie, IN 47303-1828
Mailing address
401 W McGalliard Rd
Muncie, IN 47303-1828
Phone (765) 288-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031077A | IN | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710943410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W MCGALLIARD RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031828",
"telephone_number": "765-288-6200",
"fax_number": "765-288-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W MCGALLIARD RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473031828",
"telephone_number": "765-288-6200",
"fax_number": "765-288-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "TERRY",
"middle_name": "WESTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01031077A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.