Main Medical Clinic LLC
NPI 1710758966ActiveOrganization· Nurse Practitioner, Family· Tishomingo, OK
Nurse Practitioner, Family in Tishomingo, Oklahoma, registered in NPPES in January 2024. The authorized official on file is Sharon Marshall, Owner.
Overview
| NPI | 1710758966 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2024 |
| Last updated in NPPES | Jan 15, 2024 |
| Certified by provider | Jan 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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