Organization Active NPI

Dr. Marners Clinic, LLC

  • General Practice Physician
  • Eufaula, AL
National Provider Identifier
1053643759
Registry record updated Mar 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0355 Issued in AL
Legal business name
DR. MARNERS CLINIC, LLC
Practice address
130B N Randolph Ave
Eufaula, AL 36027-1631
Phone
(334) 687-1973
Fax
(334) 687-1972
NPI assigned
Feb 4, 2010
Last updated
Mar 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wes Marner, D.O.
Title
Owner
Phone
(334) 687-1973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0355 AL Primary

Addresses

Primary practice location

130B N Randolph Ave
Eufaula, AL 36027-1631

Mailing address

130B N Randolph Ave
Eufaula, AL 36027-1631
Phone (334) 687-1973

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267920000000",
    "number": "1053643759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130B N RANDOLPH AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271631",
            "telephone_number": "334-687-1973",
            "fax_number": "334-687-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130B N RANDOLPH AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271631",
            "telephone_number": "334-687-1973",
            "fax_number": "334-687-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARNERS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-03-07",
        "status": "A",
        "authorized_official_last_name": "MARNER",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-687-1973",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "D0355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.