MAIN MEDICAL CLINIC LLC
NPI 1710758966
Nurse Practitioner - Family in Tishomingo, OK

NPI Status: Active since January 15, 2024

Contact Information

108 W MAIN ST
TISHOMINGO, OK
ZIP 73460
Phone: (580) 774-3548

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  • Organization
  • Nurse Practitioner
  • Family
  • Accepts Insurance

About MAIN MEDICAL CLINIC LLC

This page provides the complete NPI Profile along with additional information for Main Medical Clinic Llc, a provider established in Tishomingo, Oklahoma operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710758966 assigned on January 2024. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Sharon Marshall (Owner)

NPI
1710758966
Provider Name
MAIN MEDICAL CLINIC LLC
Entity Type
Organization
Location Address
108 W MAIN ST TISHOMINGO, OK 73460
Location Phone
(580) 774-3548
Mailing Address
108 W MAIN ST TISHOMINGO, OK 73460
Mailing Phone
(580) 774-3548
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2024
Last Update Date
01-15-2024
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A nurse practitioner (NP) like Main Medical Clinic Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARON MARSHALL

Authorized Official Title
OWNER
Authorized Official Phone
(817) 739-5848

Reviews for MAIN MEDICAL CLINIC LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710758966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272014516912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 4 + 5 + 1 + 6 + 9 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1710758966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407411978 MATTIE LYNN RILEY
Individual
Case Manager/Care Coordinator108 W MAIN ST
TISHOMINGO, OK 73460
(580) 371-3019
1437797974 ELLEN CIERRA KLEINERT
Individual
Case Manager/Care Coordinator108 W MAIN ST
TISHOMINGO, OK 73460
(903) 267-4283
1508497173 CHASTITY FAWN BAKEN
Individual
Case Manager/Care Coordinator108 W MAIN ST
TISHOMINGO, OK 73460
(580) 371-3019
1730462185LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Organization
Community/Behavioral Health108 W MAIN ST
TISHOMINGO, OK 73460
(580) 371-0011
1699438804 KATELYN BUSH
Individual
Counselor (Mental Health)108 W MAIN ST
TISHOMINGO, OK 73460
(580) 371-3019
1538880703 JENNIFER CHAVEZ
Individual
Case Manager/Care Coordinator108 W MAIN ST
TISHOMINGO, OK 73460
(580) 371-3019
1649981481 CHASE WILLIAM DICKERSON
Individual
Case Manager/Care Coordinator108 W MAIN ST
TISHOMINGO, OK 73460
(580) 371-3019
1568028371 ASHLEY NICOLE STITES APRN, CNP
Individual
Nurse Practitioner (Family)108 W MAIN ST
TISHOMINGO, OK 73460
(580) 774-3548

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710758966, enumerated in the NPI registry as an "organization" on January 15, 2024

The provider is located at 108 W Main St Tishomingo, Ok 73460 and the phone number is (580) 774-3548

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 15, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.