Active NPI
Summit Occupational Medicine LLC
- Occupational Medicine Clinic/Center
- Indianapolis, IN
National Provider Identifier
1992135495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.