Marshall County HMPN, LLC
Organization Active NPI Family Medicine Physician · Madill, OK
NPI 1780955898 · NPPES record last updated Nov 26, 2012
Key facts
- NPI
- 1780955898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MARSHALL COUNTY HMPN, LLC
- Practice address
- 2 Hospital Drive
Madill, OK 73446 - Phone
- (580) 795-0191
- NPI assigned
- Jan 20, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTH MANAGEMENT ASSOCIATES, INC
Authorized official
- Name
- Mr. Michael L Gingras
- Title
- Vice President
- Phone
- (239) 598-3131
Practitioners 15
-
Pamela E Ahearn, MD
-
Ronald Lynn Bennett, PA-C
-
Michelle L Bourne, PA-C
-
Pete C. Chambers, D.O.
-
Jennifer Renee Nelson, ARNP
-
Michael Steven Reed Jr., D.O.
-
David Arthur Tilles, D.O.
-
Lindsay Anne Wilson, D.O.
-
David R. Buvat, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120412000099 | OK | Part B Supplier - Clinic/Group Practice | 9638330061 |
Receives reassigned benefits from 2 practitioners Practice locations: Madill, OK; Kingston, OK |
National Provider Directory
Locations
701 Highway 70 E
Kingston, OK 73439
Phone (580) 564-4944
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2 Hospital Drive
Madill, OK 73446
Mailing address
5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2733
Phone (239) 598-3131
Other providers in Madill, OK
- Marshall County Hma LLC
- Marshall County Hma, LLC
- Marshall County Hma, LLC
- Marshall County Hma, LLC
- Marshall County HMPN, LLC
- Marshall County HMPN, LLC
- Marshall County Home Health Inc.
- Victoria Ellen Marshall
- Royce Gregory Martens
- Danah Renae Martin
All providers in Madill, OK · Family Medicine 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 Nov 26, 2012. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.