Individual provider Active NPI

Alma M Maric, M.D.

  • Pediatrics Physician
  • Lawrenceburg, IN
National Provider Identifier
1932289097
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01060352A Issued in IN
Practice address
98 Elm St
Lawrenceburg, IN 47025-2048
Phone
(812) 496-8777
Fax
(812) 537-9974
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01060352A IN
Pediatrics Physician 208000000X 35.076655 OH
Pediatrics Physician 208000000X 35462 KY
Pediatrics Physician 208000000X 01060352A IN Primary

Addresses

Primary practice location

98 Elm St
Lawrenceburg, IN 47025-2048

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090618000573 IN Practitioner - Pediatric Medicine 3072663764 Reassigns benefits to 1 organization
I20140121000698 KY Practitioner - Pediatric Medicine 3072663764 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060352AINMDPediatrics Physician
35462KYMDPediatrics Physician
35.076655OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Nov 4, 2020 Accepting new patients
Florence Urgent Care CurrentSince Dec 1, 2015 Accepting new patients
Summit Medical Group, Inc Pediatrics CurrentSince Nov 4, 2020 Accepting new patients
Summit Medical Group, Inc Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133

98 Elm St
Lawrenceburg, IN 47025
Phone (812) 496-8775

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

24143 Professional Park Dr
Lawrenceburg, IN 47025
Phone (812) 539-4646

98 Elm St
Ste 330
Lawrenceburg, IN 47025
Phone (812) 537-9100

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

8820 Bankers St
Florence, KY 41042
Phone (859) 647-1918

Interoperability endpoints

  • Direct secure messaging: amaric333937@direct-prd.stelizabeth.com

Organizations & group practices 5

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1932289097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-344-5555",
            "fax_number": "859-344-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 ELM ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252048",
            "telephone_number": "812-496-8777",
            "fax_number": "812-537-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIC",
        "first_name": "ALMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01060352A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.076655",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "35462",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01060352A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.