Organization Active NPI

Summit Occupational Medicine LLC

  • Occupational Medicine Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1992135495
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
SUMMIT OCCUPATIONAL MEDICINE LLC
Practice address
3750 N Meridian St
Ste 300
Indianapolis, IN 46208-4375
Phone
(317) 631-0420
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Douglas Marshall
Title
Doctor/Owner
Phone
(317) 631-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X IN Primary

Addresses

Primary practice location

3750 N Meridian St
Ste 300
Indianapolis, IN 46208-4375

Mailing address

3750 N Meridian St
Ste 300
Indianapolis, IN 46208-4375

National Provider Directory

National Provider Directory

Locations

3750 N Meridian St
Ste 300
Indianapolis, IN 46208
Phone (317) 631-0420

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1992135495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 N MERIDIAN ST",
            "address_2": "STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 N MERIDIAN ST",
            "address_2": "STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084375",
            "telephone_number": "317-631-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT OCCUPATIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "317-631-0420",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.