MARC B WILLAGE (NPI# 1972534261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972534261 |
| Entity Type | Individual |
| Full Name | MARC B WILLAGE |
| Credential | M.D. |
| Practice Address |
213 W Main St Vevay IN 47043-1127 |
| Mailing Address |
Po Box 189 Madison IN 47250-0189 |
| Practice Telephone | 8124272911 |
| Practice Fax Number | 8124279056 |
| Mailing Telephone | 8124272911 |
| Mailing Fax Number | 8124279056 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01037094 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64876097 | 05 | |
| IN | 100110720A | 05 | |
| AETNA | 4386715 | 01 | |
| IN | SIHO | 412890P | 01 |
| IN | ANTHEM BCBS | 000000042208 | 01 |
| MEDICARE RAILROAD | 080137279 | 01 |
| Street Address |
213 W MAIN ST |
| City | VEVAY |
| State | IN |
| Zip Code | 47043-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689689408 | Kings Daughters Hospital | Durable Medical Equipment & Medical Supplies | 213 W Main St, Vevay, IN 47043-1127 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366871261 | David Munson | Physical Therapy Assistant | 135 West State Route 56, Swiss Villa Nursing and Rehabilitation, Vevay, IN 47043 | 2013-11-01 |
| 1396744686 | Switzerland County Emergency Unit Inc | Ambulance | 610 Ferry St, Vevay, IN 47043 | 2005-07-19 |
| 1548506363 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1023 W Main St, Vevay, IN 47043 | 2012-12-26 |
| 1245320142 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 727 Hwy 56, Vevay, IN 47043 | 2006-10-13 |
| 1760411227 | Scott M Frede | Internal Medicine | 1190 W Main St, Vevay, IN 47043 | 2006-06-30 |
| 1417348525 | Lisle Family Eye Care Inc | Optometrist | 405 Ferry St, Vevay, IN 47043-1105 | 2015-02-11 |
| 1972961506 | Jefferson & Craig Township Volunteer Fire Department, Incorporated | Ambulance | 610 Ferry St, Vevay, IN 47043-1110 | 2016-02-10 |
| 1780910497 | John C Siegltiz | Optometrist | 121 W Main St, Vevay, IN 47043-1125 | 2009-10-30 |
| 1629028683 | John Chris Sieglitz | Optometrist | 121 W Main St, Vevay, IN 47043-1125 | 2006-05-11 |
| 1093070617 | Sara Elizabeth Crafton | Counselor | 205 W Main St, Vevay, IN 47043-1178 | 2012-07-10 |
| Find all providers in zip 47043 | ||||
| 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 |
|---|---|---|---|---|
| 1629431499 | Melissa Mefford | Family Medicine | 1035 W Main St Ste 1, Vevay, IN 47043-9125 | 2016-03-30 |
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|---|---|---|---|---|
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| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
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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.