MARCOTTE MEDICAL GROUP, SC – NPI #1669424768
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.

Health Care Provider Taxonomy Code for Family Medicine

MARCOTTE MEDICAL GROUP, SC is a provider located in DYER, IN. NPPES has assigned the NPI number 1669424768 to MARCOTTE MEDICAL GROUP, SC on May 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MARCOTTE MEDICAL GROUP, SC” is a dba name, the actual legal business name for this organization is MARCOTTE MEDICAL GROUP, PC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Nov 21, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARCOTTE MEDICAL GROUP, SC below.

NPI Profile for
MARCOTTE MEDICAL GROUP, PC

NPI Number
1669424768
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARCOTTE MEDICAL GROUP, PC
Doing Business As (dba): MARCOTTE MEDICAL GROUP, SC
Other name(s)
All associated names:
Former Legal Business Name
Marcotte Medical Group INC
Doing Business As (dba)
MARCOTTE MEDICAL GROUP, SC
Primary location
15900 W 101ST AVE
DYER, IN 46311
Phone: (219) 365-6333 Fax: (219) 365-8291
1 Other location(s):
16000 W 101st Ave
Dyer, IN 46311
Phone: (219) 365-6333
Fax: (219) 365-8291
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TREVOR MARCOTTE
OWNER
Phone: (219) 365-6333
Updated
Certification Date
Nov 21, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARCOTTE MEDICAL GROUP, SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherANTHEMIN000000363441
otherBCBSIL9932077
otherDMERCIN5913390001
medicaidIN200424880A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
15900 W 101ST AVE,
DYER, IN 77025-1669