JOHN E MARX (NPI# 1720491731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720491731 |
| Entity Type | Individual |
| Full Name | JOHN E MARX |
| Credential | MD |
| Practice Address |
1007 W Rudisill Blvd Fort Wayne IN 46807-2170 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604255180 |
| Practice Fax Number | 2604255210 |
| Mailing Telephone | 2602668210 |
| Mailing Fax Number | 2604585636 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01076053A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201239270 | 05 | |
| IN | ANTHEM | 000001029278 | 01 |
| IN | RAILROAD MEDICARE | P01761659 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1818 Carew St Ste 120, Fort Wayne, IN 468054764 | 2604256200 | 2604256205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225246887 | John William Marx | Dentist | 565 State Route 35, Red Bank, NJ 07701-5047 | 2007-05-18 |
| 1184764060 | John H Marx | Pediatrics | 920 Viewmont Drive, Dickson City, PA 18519-1664 | 2007-02-08 |
| 1962588202 | John D. Marx | Dentist | 30201 Dequindre Rd, Madison Heights, MI 48071-2282 | 2006-10-30 |
| Street Address |
1007 W RUDISILL BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46807-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851749147 | Eric Shoemaker | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1912208745 | Lezly A Scott | Counselor | 2417 Fairfield Ave., Attn: Lezly Scott, Fort Wayne, IN 46807 | 2010-11-10 |
| 1821464603 | Emily Nicole Ackerman | Physical Therapist | 5800 Fairfield Ave, Ste 150, Fort Wayne, IN 46807 | 2015-08-17 |
| 1477639698 | John P Crowley | Social Worker | 2805 Fairfield Ave, Fort Wayne, IN 46807 | 2006-10-31 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1770725244 | Clinical Services, LLC | Clinic/Center | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2009-03-30 |
| 1831252592 | Rosie T Milner | Nurse Practitioner | 2315 Broadway, Fort Wayne, IN 46807-1103 | 2006-12-17 |
| 1558379453 | James Curtis Potts | Dentist | 2703 Broadway, James C Potts Dds, Fort Wayne, IN 46807-1111 | 2006-08-04 |
| 1417019241 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2524 Beechwood Cir, Fort Wayne, IN 46807-1201 | 2006-12-15 |
| Find all providers in zip 46807 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760912026 | Christina A Tatara | Family Medicine | 6511 E State Blvd, Fort Wayne, IN 46815-7026 | 2017-06-19 |
| 1700317633 | Robert Campbell | Family Medicine | 7411 Hope Dr, Fort Wayne, IN 46815-5687 | 2017-03-22 |
| 1487196424 | American Vein Institute LLC | Family Medicine | 10020 Dupont Circle Ct Ste 140, Fort Wayne, IN 46825-1621 | 2016-11-08 |
| 1831547124 | Anna Menze | Family Medicine | 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 | 2016-05-27 |
| 1407203672 | Credo Health Group, LLC | Family Medicine | 10228 Dupont Circle Dr E # 100b, Fort Wayne, IN 46825-1611 | 2016-05-18 |
| 1649625104 | Gabrielle Paloma Acquaro | Family Medicine | 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804-4180 | 2016-05-03 |
| 1457763252 | Amy Simpson | Family Medicine | 1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 | 2014-05-28 |
| 1932536083 | Clifford James Shultz | Family Medicine | 2616 Covington Pointe Trl, Fort Wayne, IN 46804-2773 | 2013-10-03 |
| 1164860086 | Andrew J Mullally | Family Medicine | 10050 Auburn Park Dr, Fort Wayne, IN 46825-2389 | 2013-06-13 |
| 1891060075 | Amanda J Patch | Family Medicine | 5693 Ymca Park Dr W, Fort Wayne, IN 46835-3280 | 2012-03-20 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46807 |
Please comment or provide details below to improve the information on JOHN E MARX.
| 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.