Organization Active NPI

Marion Family Practice LLC

  • Family Medicine Physician
  • Marion, IN
National Provider Identifier
1730128018
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MARION FAMILY PRACTICE LLC
Practice address
1391 N Baldwin Ave
Marion, IN 46952-1913
Phone
(765) 662-2534
Fax
(765) 671-7793
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. James M Orrell, MD
Title
Owner/Treasurer
Phone
(765) 671-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1391 N Baldwin Ave
Marion, IN 46952-1913

Mailing address

1391 N Baldwin Ave
Marion, IN 46952-1913
Phone (765) 662-2534

Other identifiers 1

IdentifierTypeStateIssuer
100122920MedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1730128018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521913",
            "telephone_number": "765-662-2534",
            "fax_number": "765-671-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521913",
            "telephone_number": "765-662-2534",
            "fax_number": "765-671-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "ORRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/TREASURER",
        "authorized_official_telephone_number": "765-671-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 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.