Individual provider Active NPI

Mary S Applegate, M.D.

  • Internal Medicine Physician
  • Marysville, OH
National Provider Identifier
1841248341
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35057093 Issued in OH
Practice address
140 Colemans Crossing Boulevard
Suite 210
Marysville, OH 43040-0000
Phone
(937) 644-1441
Fax
(937) 642-7760
NPI assigned
May 5, 2006
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35057093 OH Primary
Pediatrics Physician 208000000X 35057093 OH

Addresses

Primary practice location

140 Colemans Crossing Boulevard
Suite 210
Marysville, OH 43040-0000

Mailing address

140 Colemans Crossing Boulevard
Suite 210
Marysville, OH 43040-0000
Phone (937) 644-1441

Other identifiers 1

IdentifierTypeStateIssuer
0725559MedicaidOH

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marysville Emergency Physicians Inc. Past Accepting new patients
Hospitalist Services Medical Group of Marysville Inc Internal Medicine Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1841248341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COLEMANS CROSSING BOULEVARD",
            "address_2": "SUITE 210",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400000",
            "telephone_number": "937-644-1441",
            "fax_number": "937-642-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COLEMANS CROSSING BOULEVARD",
            "address_2": "SUITE 210",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430400000",
            "telephone_number": "937-644-1441",
            "fax_number": "937-642-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35057093",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35057093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0725559",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.