Michael Marvin, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Ada, OK
NPI 1366483000 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1366483000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- R3882 (AR)
- Practice address
- 1921 Stonecipher Blvd
Ada, OK 74820 - Phone
- (580) 436-3980
- Fax
- (580) 421-6209
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.07 of 100
- Quality
- 73.06
- Improvement activities
- 40
- Cost
- 69.92
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100219000450 | TX | Practitioner - Obstetrics/Gynecology | 3870544612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3882 | AR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St. John'S Physicians & Clinics, Inc. | Past |
Accepting new patients | |
| St. John'S Physicians & Clinics, Inc. | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| Mercy Clinic-Springfield Communities | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| Mercy Clinic-Springfield Communities | Past |
Accepting new patients | |
| St. John'S Physicians & Clinics, Inc. | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Past |
Accepting new patients | |
| St. John'S Physicians & Clinics, Inc. | Past |
Accepting new patients | |
| St Johns Clinic Inc | Past |
Accepting new patients | |
| St Johns Clinic Inc | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R3882 | AR | Yes |
Addresses
Primary practice location
1921 Stonecipher Blvd
Ada, OK 74820
Mailing address
1921 Stonecipher Blvd
Ada, OK 74820
Phone (580) 421-4570
Other providers in Ada, OK
- Bree-Ann Martin
- Censi Martin
- Francesca Louise Martin
- Lacey Martin
- Shandi Lynn Martin
- Michael R Mason
- Patrick Mason
- Vanita Mathews-Glover
- Markia Anne Matthews
- Sheila Matthews
All providers in Ada, OK · Obstetrics & Gynecology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.