| Marshall County Hma Llc | |
|
1610 W University Blvd Durant OK 74701-3096 | |
| (580) 924-3400 | |
| (580) 924-2000 |
| Full Name | Marshall County Hma Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1610 W University Blvd, Durant, Oklahoma |
| Authorized Official Name and Position | Kristina Music (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall County Hma Llc Po Box 689022 Franklin TN 37068-9022 Ph: () - | Marshall County Hma Llc 1610 W University Blvd Durant OK 74701-3096 Ph: (580) 924-3400 |
| NPI Number | 1356874374 |
|---|---|
| Provider Enumeration Date | 04/06/2017 |
| Last Update Date | 07/09/2025 |
| Medicare PECOS PAC ID | 5193985653 |
|---|---|
| Medicare Enrollment ID | O20120409000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356874374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin J Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437151370 PECOS PAC ID: 6305897380 Enrollment ID: I20050329000304 |
| Provider Name | Paul J Varughese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497800064 PECOS PAC ID: 9436202157 Enrollment ID: I20090728000831 |
| Provider Name | Clayton A Garrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487918553 PECOS PAC ID: 9931358074 Enrollment ID: I20121004000248 |
| Provider Name | Satish R Bagdure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316264971 PECOS PAC ID: 2365685724 Enrollment ID: I20130904000277 |
| Provider Name | Vanita S Bagdure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780975128 PECOS PAC ID: 5597985689 Enrollment ID: I20141014000508 |
| Provider Name | Tina R Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821413501 PECOS PAC ID: 6103149356 Enrollment ID: I20141219001829 |
| Provider Name | Imran Aaron Michale Plumb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275827305 PECOS PAC ID: 9032434659 Enrollment ID: I20150202001697 |
| Provider Name | Barbara Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952776569 PECOS PAC ID: 5294037685 Enrollment ID: I20151231000151 |
| Provider Name | Tressa Antionette Matchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053774794 PECOS PAC ID: 0244523504 Enrollment ID: I20160725000247 |
| Provider Name | Amanda Neline Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699215780 PECOS PAC ID: 3870865793 Enrollment ID: I20170828000228 |
| Provider Name | Nikki Leann Jacinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326651118 PECOS PAC ID: 7618381799 Enrollment ID: I20210201002300 |
| Provider Name | Seth Aaron Stambaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730706219 PECOS PAC ID: 6507273125 Enrollment ID: I20210916001855 |
| Provider Name | Camilla Tegnander |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134772882 PECOS PAC ID: 4486982170 Enrollment ID: I20220709000956 |
| Provider Name | Sabih Alam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700346350 PECOS PAC ID: 5991187072 Enrollment ID: I20220805002181 |
| Provider Name | Taylor Calli Dillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306416607 PECOS PAC ID: 8224430277 Enrollment ID: I20221123002648 |
Conley Medical Services, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1323 N 16th Ave, Durant, OK 74701 Phone: 580-745-1011 Fax: 580-745-5332 | |
My Family Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1004 N 19th Ave Bldg 2, Durant, OK 74701 Phone: 580-924-5622 Fax: 580-745-5060 | |
Marshall County Hma Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1610 W University Blvd, Durant, OK 74701 Phone: 580-924-3400 Fax: 580-924-2000 | |
Lee Family Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 W University Blvd, Durant, OK 74701 Phone: 580-924-3400 Fax: 580-924-7732 | |
Durant Hma Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Bryan Dr, Suite 100, Durant, OK 74701 Phone: 580-924-4704 Fax: 580-924-6001 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 W University Blvd, Durant, OK 74701 Phone: 918-561-8306 Fax: 918-280-1917 | |
Jaiswal Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Bryan Dr, Suite 100, Durant, OK 74701 Phone: 580-924-4704 Fax: 580-924-6001 |