Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marley A Griffin Fagg, DO

Individual provider Internal Medicine Physician · NPI 1811283005

Dr. Marley A Griffin Fagg, DO is an Internal Medicine in Kokomo, Indiana. Qualified in 2011, 15 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Michigan.

Years since qualifying
15
Licensed in
IN, MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

138 N Dixon Rd
Kokomo, IN 46901
Phone: (765) 236-8282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 02004405A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101019418 (MI)

Record details

NPI number1811283005
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2011
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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