Individual provider Active NPI

Timothy Chad Marlar, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, AL
National Provider Identifier
1790050607
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-134348 Issued in AL
Practice address
205 Marengo Street
Florence, AL 35630-6033
Phone
(256) 768-9191
Fax
(256) 768-9775
NPI assigned
Mar 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-134348 AL Primary

Addresses

Primary practice location

205 Marengo Street
Florence, AL 35630-6033

Mailing address

PO Box 10005
Florence, AL 35631-2005
Phone (256) 768-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121102000533 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739341561 Reassigns benefits to 4 organizations
I20210126003120 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739341561 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Anesthesia Services LLCGroup PAC ID 7113385840, 6 clinicians

Practice addresses (Care Compare)

935 Wayne Rd
Savannah, TN 38372-1904
Phone (731) 926-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2023 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Savannah Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Anchor Anesthesia, LLC CurrentSince Feb 1, 2021 Accepting new patients
Magnolia Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Sep 14, 2012 Accepting new patients
Magnolia Regional Health Center CurrentSince Sep 14, 2012 Accepting new patients
Booneville Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
East Memphis Anesthesia Services PLC CurrentSince Dec 1, 2020 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
East Memphis Anesthesia Services, PLLC Past Accepting new patients

Locations

100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

Organizations & group practices 10

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 1

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1790050607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "256-768-9191",
            "fax_number": "256-768-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO STREET",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "256-768-9191",
            "fax_number": "256-768-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLAR",
        "first_name": "TIMOTHY",
        "middle_name": "CHAD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-134348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.