Active NPI
Marvin Dale Rodgers, D.O.
- Family Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2192
- Practice address
- 210 SW 89TH St
Oklahoma City, OK 73139-8514 - Phone
- (405) 631-1116
- Fax
- (405) 631-1825
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2192 | OK | Primary |
Addresses
Primary practice location
210 SW 89TH St
Oklahoma City, OK 73139-8514
Mailing address
210 SW 89TH St
Oklahoma City, OK 73139-8514
Phone (405) 631-1116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100721000046 | OK | Practitioner - Family Practice | 6709918188 | Practice locations: Oklahoma City, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 SW 89TH St
Oklahoma City, OK 73139-8532
Phone (405) 631-1116
Hospital & facility affiliations
- Haven Home Health & Hospice
- Integris Southwest Medical Center
- O U Medical Center
- Oklahoma Center for Orthopaedic & Multi-SP
- Norman Regional
- Community Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 52 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2192 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald R. Hopkins, D.O., PLLC | Family Medicine | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
210 SW 89th St
Oklahoma City, OK 73139
Phone (405) 631-0161
210 SW 89th St
Ste A
Oklahoma City, OK 73139
Phone (405) 631-0663
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1851693923
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
-
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
-
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1063489458
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- Home Health Agency
- Midwest City, OK
- NPI 1831609320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1023090610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731398514",
"telephone_number": "405-631-1116",
"fax_number": "405-631-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731398514",
"telephone_number": "405-631-1116",
"fax_number": "405-631-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "MARVIN",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "2192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.
- 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.