Individual provider Active NPI

Marcus L. Cobb, M.D.

  • Internal Medicine Physician
  • Lawrenceburg, IN
National Provider Identifier
1851350649
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35060320 Issued in OH
Practice address
120 Industrial Dr
Lawrenceburg, IN 47025-1116
Phone
(812) 537-5616
Fax
(812) 537-1804
NPI assigned
Mar 21, 2006
Last updated
Nov 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35060320 OH Primary

Addresses

Primary practice location

120 Industrial Dr
Lawrenceburg, IN 47025-1116

Mailing address

120 Industrial Dr
Lawrenceburg, IN 47025-1116
Phone (812) 537-5616

Other identifiers 1

IdentifierTypeStateIssuer
0803787MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000821 IN Practitioner - Internal Medicine 9739113176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Neuromuscular Associates of Sei PSCGroup PAC ID 9032001961, 6 clinicians

Practice addresses (Care Compare)

120 Industrial Dr
Lawrenceburg, IN 47025-1116
Phone (812) 537-5616

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35060320OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Neuromuscular Associates of Sei PSC CurrentSince Mar 4, 2010 Accepting new patients
Major Hospital Past Accepting new patients

Locations

120 Industrial Dr
Lawrenceburg, IN 47025
Phone (812) 537-5616

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1851350649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INDUSTRIAL DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251116",
            "telephone_number": "812-537-5616",
            "fax_number": "812-537-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INDUSTRIAL DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251116",
            "telephone_number": "812-537-5616",
            "fax_number": "812-537-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "MARCUS",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803787",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.