Physician Compare National (NPI:1396701793)

HEALTHCARE PROVIDER: KEVIN CRAIG MARLER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396701793
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193823565
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070716000586
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARLER
	Individual professional last name
Provider First Name	KEVIN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SURGICAL ONCOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SURGICAL ONCOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	8001 YOUREE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 840
	Group Practice or individual's line 2 address
City	SHREVEPORT
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	711152349
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190111
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WILLIS KNIGHTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190041
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHRISTUS HEALTH SHREVEPORT - BOSSIER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y