NPIMap

Individual provider Active NPI

Gordon Marler, D.O.

  • Family Medicine Physician
  • Ravenna, OH
National Provider Identifier
1366738825
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-010813 Issued in OH
Practice address
6847 N Chestnut St
Suite 200
Ravenna, OH 44266-3929
Phone
(330) 296-9606
Fax
(330) 297-9835
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-010813 OH Primary

Addresses

Primary practice location

6847 N Chestnut St
Suite 200
Ravenna, OH 44266-3929

Mailing address

6847 N Chestnut St
Suite 200
Ravenna, OH 44266-3929
Phone (330) 296-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001629 CA Practitioner - Family Practice 4587880620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vista Complete Care IncGroup PAC ID 7113119454, 10 clinicians

Practice addresses (Care Compare)

13555 Bowman Rd
Suite 100
Auburn, CA 95603-3197
Phone 5308853951113

Hospital & facility affiliations

  • Sutter Auburn Faith Vna & Hospice Home health agency, Auburn, CA, CCN 557292
  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sutter Auburn Faith Vna & Hospice-Hospice Hospice, Auburn, CA, CCN 051632
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Complete Care, Inc. Family Medicine CurrentSince Jul 2, 2017 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

13555 Bowman Rd
Ste 100
Auburn, CA 95603
Phone (530) 885-3951

23000 Foresthill Rd
Foresthill, CA 95631
Phone (530) 367-2229

Interoperability endpoints

  • Direct secure messaging: gordon.marler.1@8214.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8214/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1366738825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST",
            "address_2": "SUITE 200",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-296-9606",
            "fax_number": "330-297-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST",
            "address_2": "SUITE 200",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-296-9606",
            "fax_number": "330-297-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "GORDON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-010813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

Verify at the official NPI Registry.