Active NPI
Marion General Radiology, Inc.
- Diagnostic Radiology Physician
- Marion, IN
National Provider Identifier
1801895081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MARION GENERAL RADIOLOGY, INC.
- Practice address
- 441 N Wabash Ave
Marion, IN 46952-2612 - Phone
- (800) 288-8325
- Fax
- (419) 866-5453
- NPI assigned
- Jul 19, 2005
- Last updated
- Sep 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Dean, MD
- Title
- President
- Phone
- (800) 288-8325
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
441 N Wabash Ave
Marion, IN 46952-2612
Mailing address
830 N Baldwin Ave
Marion, IN 46952-2542
Phone (800) 288-8325
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100282670A | Medicaid | IN | |
| 000000101047 | Other | IN | BC BS |
| 100282670B | Medicaid | IN | |
| 100282670D | Medicaid | IN | |
| 100282670C | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
830 N Baldwin Ave
Marion, IN 46952
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Marion, IN
- NPI 1720008394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537315200000",
"number": "1801895081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 N BALDWIN AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469522542",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 N WABASH AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469522612",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION GENERAL RADIOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2018-09-19",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-288-8325",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100282670A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "000000101047",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100282670B",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100282670D",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100282670C",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
- Marion General Hospital (Marion General Hospital DME)
- Marion General Hospital
- Marion General Hospital (Marion General Hospital Nutritional Support)
- Marion General Hospital (MGH Emergency Physicians)
- Marion General Hospital (Marion General Hospital Ambulance Service)
- Marion Occupational Medicine LLC (Marion Primary Care)
- Marion Oral & Maxillofacial Surgeons, Inc.
- Marion Oral & Maxillofacial Surgery, LLC
- Marion Pediatrics LLC
- Marion Physical Therapy Center Ind.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.