DR. MARLEY A GRIFFIN FAGG


Address: 138 N Dixon Rd, Kokomo, IN 46901
Phone: 7652368282

DR. MARLEY A GRIFFIN FAGG (NPI# 1811283005) 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) 1811283005
Entity Type Individual
Full Name DR. MARLEY A GRIFFIN FAGG
Other Name DR. MARLEY A GRIFFIN
Credential DO
Practice Address 138 N Dixon Rd
Kokomo
IN 46901
Mailing Address 10330 N Meridian St # 300
Indianapolis
IN 46290-1024
Practice Telephone 7652368282
Enumeration Date 2011-06-26
Last Update Date 2018-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 02004405A IN Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 5101019418 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201232310 05

Office Location

Street Address 138 N DIXON RD
City KOKOMO
State IN
Zip Code 46901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437153145 Melanie Lynn Bozard Internal Medicine 138 N Dixon Rd, Kokomo, IN 46901-4154 2005-06-09
1982237699 Elizabeth Ann Fuller Nurse Practitioner 138 N Dixon Rd, Kokomo, IN 46901-4154 2020-02-20
1366002594 Alexis Holt Audiologist 138 N Dixon Rd, Kokomo, IN 46901-4154 2019-06-19
1619473873 Nathan Wheeler Nurse Practitioner 138 N Dixon Rd, Kokomo, IN 46901 2018-04-04
1376993543 Breanna Lynn Lee Nurse Practitioner 138 N Dixon Rd, Kokomo, IN 46901-4154 2016-06-17
1730426958 Sheryar Sarwar Family Medicine 138 N Dixon Rd, Kokomo, IN 46901-4154 2013-01-08
1356550057 Michele B Weiberg Internal Medicine 138 N Dixon Rd, Kokomo, IN 46901-4154 2007-05-21
1447335898 Christi L Redmon Obstetrics & Gynecology 138 N Dixon Rd, Kokomo, IN 46901 2006-10-26
1447217989 Janice Elaine Morecraft Nurse Practitioner 138 N Dixon Rd, Kokomo, IN 46901-4154 2006-04-27
1891776951 Victoria L Moyer Family Medicine 138 N Dixon Rd, Kokomo, IN 46901-4154 2005-11-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607597 Momentum Kokomo, LLC Substance Abuse Rehabilitation Facility 1236 N. Wabash Ave, Kokomo, IN 46901 2020-10-23
1457826869 Jodi Gayle Lake Developmental Therapist 2523 Lorentson Ct, Kokomo, IN 46901 2018-10-11
1871088369 Hope Behavioral Servies, LLC Behavioral Analyst 924 Clark St, Kokomo, IN 46901 2018-06-27
1255782306 Forefront Dermatology, S.c. Dermatology 2130 W Sycamore St Ste 200, Kokomo, IN 46901 2016-06-29
1164860706 Renee Michelle Brown Registered Nurse 2776 Amberwood Place, Kokomo, IN 46901 2013-06-05
1063642916 Michelle K Rush Speech-Language Pathologist 2532 Lauren Ln, Kokomo, IN 46901 2009-07-24
1396957189 Lifetime Dental Care of In, PC Dentist 927 S Washington St, Kokomo, IN 46901 2007-05-04
1245458355 Wagoner Medical Center, LLC Internal Medicine 2016 W Sycamore, Kokomo, IN 46901 2007-04-23
1053442723 Jesusa Salhieh Contractor Genesis Rehab Bloom, Kokomo, IN 46901 2007-03-07
1740382928 Donald A Fantuzzo Dds PC Dentist 2196 W Sycamore St, Kokomo, IN 46901 2006-09-01
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780882449 Deshini A Moonesinghe Internal Medicine 3500 S Lafountain Street, Kokomo, IN 46902-3803 2007-07-04
1932300241 Arun Agrawal Internal Medicine 3500 S. Lafountain Street, Kokomo, IN 46902-3803 2007-05-31
1245458355 Wagoner Medical Center, LLC Internal Medicine 2016 W Sycamore, Kokomo, IN 46901 2007-04-23
1811061120 Carl Edwin Kuenzli Internal Medicine 3492 Candy Ln, Kokomo, IN 46902-4412 2006-11-20
1073542940 Julie B Tredemeyer Internal Medicine 3611 S Reed Rd Ste 103, Kokomo, IN 46902-3828 2006-07-02
1407817109 James M Scheffler Internal Medicine 2030 W Boulevard, Kokomo, IN 46902-6079 2006-03-31
1912978776 Dustardie D Reed Internal Medicine 3900 Southland Ave, Kokomo, IN 46902 2006-01-30
1891776779 Chris Bahler Internal Medicine 1907 W Sycamore St Fl 3, Kokomo, IN 46901 2005-11-08
1740280015 Baikadi A Ravindra IIi Internal Medicine 3505 S Reed Rd, Kokomo, IN 46902-3838 2005-07-28
1700882701 Gerald Kevin Greer Internal Medicine 2401 Columbus Blvd, Kokomo, IN 46901-6455 2005-06-23
Find all providers in KOKOMO

Competitor

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City KOKOMO
Zip Code 46901

Improve Information

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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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