NPIMap

Individual provider Active NPI

Stephen I Hutchins, M.D.

  • Family Medicine Physician
  • Marietta, OK
National Provider Identifier
1073564597
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16223 Issued in OK
Practice address
301 Wanda St
Marietta, OK 73448-1229
Phone
(580) 276-2400
Fax
(580) 276-4358
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16223 OK Primary

Addresses

Primary practice location

301 Wanda St
Marietta, OK 73448-1229

Mailing address

301 Wanda St
Marietta, OK 73448-1229
Phone (580) 276-2400

Other identifiers 1

IdentifierTypeStateIssuer
100004780AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825001061 OK Practitioner - Family PracticePractitioner - Psychiatry 8123142296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Psychiatry
Education
Oral Roberts University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Behavioral Wellness CentersGroup PAC ID 6406748961, 59 clinicians
Love County Health CenterGroup PAC ID 4880580950, 5 clinicians

Practice addresses (Care Compare)

2530 S Commerce St
BLDG B
Ardmore, OK 73401-5519
Phone (580) 223-5636

301 Wanda St
Marietta, OK 73448-1229
Phone (580) 276-2400

Hospital & facility affiliations

  • Victory Home Health, LLC Home health agency, Tishomingo, OK, CCN 377574
  • Victory Home Health and Hospice Hospice, Tishomingo, OK, CCN 371563
  • Mercy Hospital Marietta Hospital, Marietta, OK, CCN 371306
  • Alliancehealth Madill Hospital, Madill, OK, CCN 371326
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Brookside Nursing Center Nursing home, Madill, OK, CCN 375235
  • Southbrook Healthcare, Inc Nursing home, Ardmore, OK, CCN 375255
  • Elmbrook Home Nursing home, Ardmore, OK, CCN 375160
  • Ardmore Center for Rehabilitation and Healthcare Nursing home, Ardmore, OK, CCN 375379
  • Woodview Home, Inc. Nursing home, Ardmore, OK, CCN 375393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16223OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Wellness Centers CurrentSince Oct 1, 1991 Accepting new patients
Lighthouse Behavioral Wellness Centers CurrentSince Oct 1, 1991 Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients
Love County Health Center Past Accepting new patients
Love County Health Center Family Medicine Past Accepting new patients
Elmbrook Home, Inc. Past Accepting new patients
Southbrook Healthcare, Inc. Past Accepting new patients
Madill Operating Co, LLC Past Accepting new patients
Marshall County Hma, LLC Past Accepting new patients
Darlene Investment Group Lakeland Manor, Inc. Past Accepting new patients
Woodview Home, Inc. Past Accepting new patients

Locations

2530 S Commerce St
Bldg B
Ardmore, OK 73401
Phone (580) 319-7305

Interoperability endpoints

  • Direct secure messaging: shutchins133187@directc.mercy.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1073564597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WANDA ST",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734481229",
            "telephone_number": "580-276-2400",
            "fax_number": "580-276-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WANDA ST",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734481229",
            "telephone_number": "580-276-2400",
            "fax_number": "580-276-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "STEPHEN",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "16223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OK

Sources for this page

Verify at the official NPI Registry.