Active NPI
McKay C Marler, MD
- Pediatrics Physician
- Loveland, CO
National Provider Identifier
1629163183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 44578
- Practice address
- 2555 E 13TH St
Big Thompson Med Group PC Loveland Pediatrics Suite 103
Loveland, CO 80537 - Phone
- (970) 663-5437
- Fax
- (970) 663-5762
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 44578 | CO | Primary |
Addresses
Primary practice location
2555 E 13TH St
Big Thompson Med Group PC Loveland Pediatrics Suite 103
Loveland, CO 80537
Mailing address
1627 E 18TH St
Loveland, CO 80538-4209
Phone (970) 663-0135
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TEP4909 | Other | NE | LICENSE |
| 35005238 | Medicaid | CO | |
| 44578 | Other | CO | LICENSE |
Other names 1
- KC Marler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44578 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Colorado LLC | Current | Accepting new patients | |
| Big Thompson Medical Group Inc | Pediatrics | Past | Accepting new patients |
| Banner Health | Past | Accepting new patients |
Locations
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629163183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 E 18TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384209",
"telephone_number": "970-663-0135",
"fax_number": "970-461-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 E 13TH ST",
"address_2": "BIG THOMPSON MED GROUP PC LOVELAND PEDIATRICS SUITE 103",
"city": "LOVELAND",
"state": "CO",
"postal_code": "80537",
"telephone_number": "970-663-5437",
"fax_number": "970-663-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLER",
"first_name": "MCKAY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "44578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "TEP4909",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35005238",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "44578",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KC",
"last_name": "MARLER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.