KENNETH E MARNOCHA (NPI# 1699744342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699744342 |
Entity Type | Individual |
Full Name | KENNETH E MARNOCHA |
Credential | MD |
Practice Address |
253 Sagamore Pkwy W West Lafayette IN 47906-1501 |
Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
Practice Telephone | 7654488000 |
Mailing Telephone | 7654488000 |
Mailing Fax Number | 7654488335 |
Enumeration Date | 2006-03-15 |
Last Update Date | 2014-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01031076A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100320630 | 05 | |
IN | CAQH NUMBER | 10825542 | 01 |
IN | PHCS PID NUMBER | 156682 | 01 |
IN | ANTHEM PROVIDER NUMBER | 000000202120 | 01 |
Street Address |
253 SAGAMORE PKWY W |
City | WEST LAFAYETTE |
State | IN |
Zip Code | 47906-1501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316934102 | Lori E Pekarek | Emergency Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2005-10-05 |
1457826661 | Meghan L Lovellette | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-10-04 |
1154803716 | Kasey Williams | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-08-30 |
1952897118 | Jenny Mullis | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906 | 2018-07-10 |
1114421161 | Stacey Mels | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906 | 2018-03-22 |
1649705138 | Megan Ishikawa | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-04-22 |
1750822367 | Katie D Aldridge | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-15 |
1639619091 | Michelle Yakimicki | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-06 |
1912449273 | Scott F Wood | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-11-17 |
1912360348 | Scott E. Wilkins | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
Find all providers in zip 47906 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093026908 | Luke Gerges | Radiology | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2010-06-24 |
1376876219 | Unity Healthcare, LLC | Radiology | 3482 Mcclure Ave, Suite 100, West Lafayette, IN 47906-4164 | 2009-09-10 |
1275796567 | Joshua Austin Nepute | Radiology | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2008-07-07 |
1053380774 | Phyllis Martin-simmerman | Radiology | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2006-03-15 |
1144298506 | Mark Curtis Arvin | Radiology | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2006-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
1922594225 | Lutheran Health Imaging LLC | Radiology | 1700 Alber St Ste 103, Wabash, IN 46992-1015 | 2018-07-10 |
1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
Find all providers with the same taxonomy |
City | WEST LAFAYETTE |
Zip Code | 47906 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.