Individual provider Active NPI

John B Marlar, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Holdenville, OK
National Provider Identifier
1316923576
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
3037 Issued in OK
Practice address
100 McDougal Dr
Holdenville, OK 74848-2899
Phone
(405) 379-4200
NPI assigned
Dec 20, 2005
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3037 OK Primary

Addresses

Primary practice location

100 McDougal Dr
Holdenville, OK 74848-2899

Mailing address

PO Box 17
Suite 100
Tulsa, OK 74101-0017
Phone (866) 321-8433

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000066 OK Practitioner - Emergency Medicine 7719883099 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holdenville Hospital AuthorityGroup PAC ID 6002031424, 10 clinicians

Practice addresses (Care Compare)

100 McDougal Dr
Holdenville, OK 74848-2822
Phone (405) 379-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3037OKMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holdenville Hospital Authority CurrentSince Oct 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Exceptional Physicians Group Ardmore Hospital PLLC Emergency Medical Services CurrentSince Jan 30, 2025 Accepting new patients
Choctaw County City of Hugo Hospital Authority CurrentSince Jan 2, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 1, 2018 Accepting new patients
Holdenville Hospital Authority CurrentSince Oct 1, 2020 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 1, 2018 Accepting new patients

Locations

1641 Woerz Way
Ardmore, OK 73401
Phone (436) 341-7800

100 McDougal Dr
Holdenville, OK 74848
Phone (405) 379-4200

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

1405 E Kirk St
Ste B
Hugo, OK 74743
Phone (580) 326-6111

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

Dept 1467
Tulsa, OK 74182

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1316923576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741010017",
            "telephone_number": "866-321-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCDOUGAL DR",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748482899",
            "telephone_number": "405-379-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLAR",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "3037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdenville, OK

Sources for this page

Verify at the official NPI Registry.