Organization Active NPI

Marlow Family Healthcare Preston Heath Boyles Sole MBR

Doing business as Marlow Family Healthcare LLC

  • Family Nurse Practitioner
  • Marlow, OK
National Provider Identifier
1750634762
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
82777 Issued in OK
Legal business name
MARLOW FAMILY HEALTHCARE PRESTON HEATH BOYLES SOLE MBR
Doing business as
Marlow Family Healthcare LLC
Practice address
311 W Main St
Marlow, OK 73055-2441
Phone
(580) 756-4076
Fax
(580) 756-4077
NPI assigned
Oct 16, 2012
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Mr. Preston Heath BoylesNPI 1629366786
Title
Owner
Phone
(580) 756-4076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 82777 OK Primary

Addresses

Primary practice location

311 W Main St
Marlow, OK 73055-2441

Mailing address

311 W Main St
Marlow, OK 73055-2441
Phone (580) 756-4076

Other names 1

  • Marlow Family Healthcare LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130617000009 OK Part B Supplier - Clinic/Group Practice 3072752492 Receives reassigned benefits from 1 practitioner
Practice locations: Marlow, 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
37D2050257Marlow Family Healthcare, Aprn-CNP311 West Main, Marlow, OK 73055Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Locations

311 W Main St
Marlow, OK 73055
Phone (580) 756-4076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1750634762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730552441",
            "telephone_number": "580-756-4076",
            "fax_number": "580-756-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730552441",
            "telephone_number": "580-756-4076",
            "fax_number": "580-756-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLOW FAMILY HEALTHCARE PRESTON HEATH BOYLES SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-756-4076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "82777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marlow Family Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.