Organization Active NPI

Marla H Wohlman MD PC

  • Family Medicine Physician
  • Millbrook, AL
National Provider Identifier
1295911683
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15075 Issued in AL
Legal business name
MARLA H WOHLMAN MD PC
Practice address
3351 Main St
Millbrook, AL 36054-3218
Phone
(334) 285-7808
Fax
(334) 285-7810
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Marla H Wohlman, MDNPI 1225178031
Title
Owner
Phone
(334) 285-7808

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 15075 AL Primary

Addresses

Primary practice location

3351 Main St
Millbrook, AL 36054-3218

Mailing address

PO Box 589
Millbrook, AL 36054-0012
Phone (334) 285-7808

Other identifiers 1

IdentifierTypeStateIssuer
51048998OtherALBLUECROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301000142 AL Part B Supplier - Clinic/Group Practice 1355394479 Receives reassigned benefits from 1 practitioner
Practice locations: Millbrook, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2110770Marla H Wohlman MD3351 Main Street, Millbrook, AL 36054Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Locations

1100 S College St
Ste 204
Auburn, AL 36832
Phone (334) 501-2221

3351 Main St
Millbrook, AL 36054
Phone (334) 285-7808

Practitioners & affiliated clinicians

Practitioners 2

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1295911683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360540012",
            "telephone_number": "334-285-7808",
            "fax_number": "334-285-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 MAIN ST",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360543218",
            "telephone_number": "334-285-7808",
            "fax_number": "334-285-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLA H WOHLMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "WOHLMAN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-285-7808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "51048998",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.