Organization Active NPI

Gladney Marler & Associates ,LLC

  • Case Manager/Care Coordinator
  • Shreveport, LA
National Provider Identifier
1164533030
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
08493R Issued in LA
Legal business name
GLADNEY MARLER & ASSOCIATES ,LLC
Practice address
8001 Youree Dr
Suite 840
Shreveport, LA 71115-2349
Phone
(318) 795-9100
Fax
(318) 795-9191
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Kevin Craig Marler, M.D.NPI 1396701793
Title
Doctor
Phone
(318) 795-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 08493R LA Primary

Addresses

Primary practice location

8001 Youree Dr
Suite 840
Shreveport, LA 71115-2349

Mailing address

8001 Youree Dr
Suite 840
Shreveport, LA 71115-2349
Phone (318) 795-9100

Other identifiers 1

IdentifierTypeStateIssuer
1698873MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000679 LA Part B Supplier - Clinic/Group Practice 9931207396 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

8001 Youree Dr
Ste 840
Shreveport, LA 71115
Phone (318) 795-9100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1164533030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 840",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152349",
            "telephone_number": "318-795-9100",
            "fax_number": "318-795-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 840",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152349",
            "telephone_number": "318-795-9100",
            "fax_number": "318-795-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADNEY MARLER & ASSOCIATES ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MARLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "318-795-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "08493R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698873",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.