Active NPI
Medcosmetix, LLC
- Family Medicine Physician
- Marion, OH
National Provider Identifier
1891960720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35051305G
- Legal business name
- MEDCOSMETIX, LLC
- Practice address
- 241 Executive Dr
Marion, OH 43302-6307 - Phone
- (740) 387-3256
- Fax
- (740) 383-4906
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- 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
- Dr. Timothy Francis Garner, M.D.
- Title
- President
- Phone
- (740) 387-3256
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35051305G | OH | Primary |
Addresses
Primary practice location
241 Executive Dr
Marion, OH 43302-6307
Mailing address
241 Executive Dr
Marion, OH 43302-6307
Phone (740) 387-3256
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Marion, OH
- NPI 1902868813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1891960720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 EXECUTIVE DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026307",
"telephone_number": "740-387-3256",
"fax_number": "740-383-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 EXECUTIVE DR",
"city": "MARION",
"state": "OH",
"postal_code": "433026307",
"telephone_number": "740-387-3256",
"fax_number": "740-383-4906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCOSMETIX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "GARNER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-387-3256",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35051305G",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
- Charles McQuistion
- Victoria Dianne McQuistion, LPN
- Avery Meadows, RPH
- Emily Amiah Meadows, PHD
- Med Tel International Corporation (Wide Open MRI)
- Medical Service Company (Medical Service Companies)
- Madhu Mehta, M.D.
- Meijer Stores Limited Partnership (Meijer Pharmacy #111)
- Melissa O'Ryan Mekesa, M.D.
- Brent Cameron Mellis, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.