KENNETH E MARNOCHA


Address: 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501
Phone: 7654488000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
01031076A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 253 SAGAMORE PKWY W
City WEST LAFAYETTE
State IN
Zip Code 47906-1501

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WEST LAFAYETTE
Zip Code 47906

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Dataset Information

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.

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