Organization Active NPI

Marshall Huser Family Medicine PLLC

  • Family Medicine Physician
  • Weatherford, OK
National Provider Identifier
1558889972
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30638 Issued in OK
Legal business name
MARSHALL HUSER FAMILY MEDICINE PLLC
Practice address
3727 Legacy
Weatherford, OK 73096-9746
Phone
(580) 375-4901
Fax
(580) 375-4903
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cynthia L Hughes
Title
Manager
Phone
(918) 230-9845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 30638 OK Primary

Addresses

Primary practice location

3727 Legacy
Weatherford, OK 73096-9746

Mailing address

3727 Legacy
Weatherford, OK 73096-9746
Phone (580) 375-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171023002532 OK Part B Supplier - Clinic/Group Practice 4486920287 Receives reassigned benefits from 2 practitioners
Practice locations: Weatherford, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2138547Marshall Huser Family Medicine3727 Legacy, Weatherford, OK 73096Certificate of waiverOct 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558889972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 LEGACY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969746",
            "telephone_number": "580-375-4901",
            "fax_number": "580-375-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 LEGACY",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730969746",
            "telephone_number": "580-375-4901",
            "fax_number": "580-375-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL HUSER FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-230-9845"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "30638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.