Active NPI
Marion K. Studebaker, M.D.
- Family Medicine Physician
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13434
- Practice address
- 520 S Mustang Rd
Yukon, OK 73099-6737 - Phone
- (405) 936-5910
- Fax
- (405) 577-2605
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 13434 | OK | Primary |
Addresses
Primary practice location
520 S Mustang Rd
Yukon, OK 73099-6737
Mailing address
520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 936-5910
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13434 | Other | OK | LICENSE |
| 100088380A | Medicaid | OK | |
| 080020799 | Other | OK | RAILROAD |
| 20466 | Other | OK | OBNDD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 936-5910
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Family Medicine | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653
Interoperability endpoints
- mstudebaker17243@directc.mercy.net
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 1386874550
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1306875729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996737",
"telephone_number": "405-936-5910",
"fax_number": "405-577-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996737",
"telephone_number": "405-936-5910",
"fax_number": "405-577-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUDEBAKER",
"first_name": "MARION",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "13434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "13434",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088380A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "080020799",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OBNDD",
"identifier": "20466",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.