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KENNETH E MARNOCHA MD NPI 1699744342


NPI Information

NPI: 1699744342
Provider Name: KENNETH E MARNOCHA, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
ZIP 47906
Phone: (765) 448-8000
Get Directions

Kenneth E Marnocha, MD is a diagnostic radiology radiology in West Lafayette, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Kenneth E Marnocha, MD NPI is 1699744342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

253 SAGAMORE PKWY W
WEST LAFAYETTE, IN
ZIP 47906-501
Phone: (765) 448-8000

The NPI 1699744342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 9/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology01031076AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100320630MEDICAIDINDIANA
210825542OTHERINDIANACAQH NUMBER
3142080DDDMEDICARE PININDIANA
4815520NNMEDICARE PININDIANA
5815460KKKMEDICARE PININDIANA
6185510JJMEDICARE PININDIANA
7815500DDDDMEDICARE PININDIANA
8870630TMEDICARE PININDIANA
9815510KKMEDICARE PININDIANA
10000000202120OTHERINDIANAANTHEM PROVIDER NUMBER
11156682OTHERINDIANAPHCS PID NUMBER
12D95295MEDICARE UPININDIANA
13224390DMEDICARE PININDIANA
14300123686MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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