Individual provider Active NPI

Theresa L Marx-Armile, MD

  • Specialist
  • Poland, OH
National Provider Identifier
1831172634
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35071012 Issued in OH
Practice address
6615 Clingan Rd
Suite C
Poland, OH 44514-2196
Phone
(330) 757-7888
Fax
(330) 757-4912
NPI assigned
Nov 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35071012 OH Primary

Addresses

Primary practice location

6615 Clingan Rd
Suite C
Poland, OH 44514-2196

Mailing address

6615 Clingan Rd
Suite C
Poland, OH 44514-2196
Phone (330) 757-7888

Other identifiers 1

IdentifierTypeStateIssuer
0019696990001MedicaidPA

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

LicenseStateTypeSpecialty
35071012OHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Laboratories, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1831172634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 CLINGAN RD",
            "address_2": "SUITE C",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142196",
            "telephone_number": "330-757-7888",
            "fax_number": "330-757-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 CLINGAN RD",
            "address_2": "SUITE C",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445142196",
            "telephone_number": "330-757-7888",
            "fax_number": "330-757-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARX-ARMILE",
        "first_name": "THERESA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35071012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019696990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.