Michael Marvin, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R3882 Issued in AR

Practice address

1921 Stonecipher Blvd
Ada, OK 74820

Phone

(580) 436-3980

Fax

(580) 421-6209

NPI assigned

Jun 10, 2006

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

77.07 of 100Reported as group

Quality

73.06

Improvement activities

40

Cost

69.92

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic - Broken Bow

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• Mercy Clinic Springfield Communities

  dba Mercy Radiology Berryville

  • Diagnostic Radiology Physician
  • Berryville, AR
  • NPI 1720022510
  NPD (past)
• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine Branson West

  • Durable Medical Equipment & Medical Supplies
  • Branson West, MO
  • NPI 1922120096
  NPD (past)
• Mercy Clinic-Springfield Communities

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MO
  • NPI 1558428896
  NPD (past)
• Mercy Clinic-Springfield Communities

  dba Mercy Clinic-Branson Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Branson, MO
  • NPI 1578735411
  NPD (past)
• St Johns Clinic Inc

  dba SJC-Ozark

  • Durable Medical Equipment & Medical Supplies
  • Ozark, MO
  • NPI 1023214145
  NPD (past)
• St Johns Clinic Inc

  dba SJC-Cuba

  • Durable Medical Equipment & Medical Supplies
  • Cuba, MO
  • NPI 1033316591
  NPD (past)
• St Johns Clinic Inc

  dba SJC-Steelville

  • Durable Medical Equipment & Medical Supplies
  • Steelville, MO
  • NPI 1053518522
  NPD (past)
• St Johns Clinic Inc

  dba SJC-Family Medicine/Pediatrics-Healthtracks

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MO
  • NPI 1083737704
  NPD (past)
• St Johns Clinic Inc

  dba SJC-Family Medicine-East Sunshine

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MO
  • NPI 1174646889
  NPD (past)
• St Johns Clinic Inc

  dba SJC-Berryville Family Practice

  • Family Medicine Physician
  • Berryville, AR
  • NPI 1447323399
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1366483000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-421-4570",
            "fax_number": "580-421-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 STONECIPHER BLVD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-436-3980",
            "fax_number": "580-421-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "R3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bree-Ann Martin
• Censi Martin
• Francesca Louise Martin
• Lacey Martin, MS, PSRS
• Shandi Lynn Martin, LPC
• Michael R Mason, MD
• Patrick Mason, MD
• Vanita Mathews-Glover, LPC
• Markia Anne Matthews, MS
• Sheila Matthews

• Obstetrics & Gynecology Physician in Ada, OK
• Providers in Ada, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.

Verify at the official NPI Registry.