Organization Active NPI

Edgar R Marr MD Inc

  • Internal Medicine Physician
  • Avon, OH
National Provider Identifier
1851464002
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EDGAR R MARR MD INC
Practice address
36465 Detroit Rd
Avon, OH 44011-1576
Phone
(440) 934-5236
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Edgar R M Marr, MD
Title
Owner
Phone
(440) 934-5236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

36465 Detroit Rd
Avon, OH 44011-1576

Mailing address

36465 Detroit Rd
Avon, OH 44011-1576
Phone (440) 934-5236

Other identifiers 1

IdentifierTypeStateIssuer
0984592MedicaidOH

Other names 1

  • Corporation Other name

National Provider Directory

National Provider Directory

Locations

36465 Detroit Rd
Avon, OH 44011
Phone (440) 934-5236

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1851464002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36465 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111576",
            "telephone_number": "440-934-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36465 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111576",
            "telephone_number": "440-934-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR R MARR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MARR",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "R M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-934-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.