Wesley Darrell Marner, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO-355 Issued in AL

Practice address

130 N Randolph Ave
B
Eufaula, AL 36027-1631

Phone

(334) 687-1973

Fax

(334) 687-1972

NPI assigned

Jan 10, 2006

Last updated

Mar 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: wesley.marner.1@11619.direct.athenahealth.com

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267920000000",
    "number": "1912986878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360720040",
            "telephone_number": "334-687-1973",
            "fax_number": "334-687-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N RANDOLPH AVE",
            "address_2": "B",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271631",
            "telephone_number": "334-687-1973",
            "fax_number": "334-687-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNER",
        "first_name": "WESLEY",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2010-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO-355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000086452",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "510-86452",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Eufaula, AL
• Providers in Eufaula, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.