MR. MARTY DRAKE COLVIN


Address: 8915 N 119th East Ave, Owasso, OK 74055-2083
Phone: 9188133073

MR. MARTY DRAKE COLVIN (NPI# 1801365929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801365929
Entity Type Individual
Full Name MR. MARTY DRAKE COLVIN
Credential CM
Practice Address 8915 N 119th East Ave
Owasso
OK 74055-2083
Practice Telephone 9188133073
Mailing Telephone 9188133073
Enumeration Date 2018-11-19
Last Update Date 2018-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator OK Other Service Providers

Office Location

Street Address 8915 N 119TH EAST AVE
City OWASSO
State OK
Zip Code 74055-2083

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972151587 Lakecrest Dental-owasso 96th Dentist 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 2019-08-27
1205328697 Eddie Duane Gaut Case Manager/Care Coordinator 110 W 3rd St., Apt 11, Owasso, OK 74055 2018-06-01
1821586694 Kaitlyn Konarik Speech-Language Pathologist 12899 E 76th St N, Ste. 109, Owasso, OH 74055 2018-04-27
1043733769 Kelsey Renae Nicklas Case Manager/Care Coordinator 9310 N 163rd East Ave, Owasso, OK 74055 2017-07-25
1700259256 Genscripts Owasso, LLC Pharmacy 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 2015-11-05
1770968810 Premier Anesthesia Management Inc Clinic/Center 19236 E Twin Creeks Dr, Owasso, OK 74055 2015-07-29
1598152407 Justin Lum Physical Therapist 12326 E 86th St N, Owasso, OK 74055 2015-04-17
1033507660 Kimberly Louise Howard Physical Therapy Assistant 12899 East 76th St North, Owasso, OK 74055 2015-01-06
1780920629 Timothy Ryan Thornton Behavioral Analyst 11330 N 94 E Ave, Owasso, OK 74055 2012-12-21
1679842785 Kelli Marie Ellis Counselor 19760 E Fox Run Cir, Owasso, OK 74055 2011-12-19
Find all providers in zip 74055

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285259739 Courtney Mariah Taylor Case Manager/Care Coordinator 15104 E 109th St N, Owasso, OK 74055-6049 2020-06-10
1578115184 Catherine J Sexton-schmitt Case Manager/Care Coordinator 8806 N 119th East Ave, Owasso, OK 74055-2080 2019-07-13
1700448883 Kelly Hallquist Case Manager/Care Coordinator 15003 E 89th Pl N, Owasso, OK 74055-4883 2019-06-28
1316407315 Mariah Dalee Blunt I Case Manager/Care Coordinator 10604 E 96th Pl N, Owasso, OK 74055-4343 2019-03-25
1457831695 Joshua Michael Gagner Case Manager/Care Coordinator 14617 E 104th St N, Owasso, OK 74055-4820 2018-08-17
1205328697 Eddie Duane Gaut Case Manager/Care Coordinator 110 W 3rd St., Apt 11, Owasso, OK 74055 2018-06-01
1902305139 Stephanie Lee Anderson Case Manager/Care Coordinator 15599 E 78th St N, Owasso, OK 74055-6036 2018-02-02
1588173710 Jason Drake Case Manager/Care Coordinator 11101 N 119th East Ave, Owasso, OK 74055-3709 2017-09-20
1487173647 Tucker B Carter Case Manager/Care Coordinator 8906 N 123rd East Ave, Owasso, OK 74055-2063 2017-09-19
1043733769 Kelsey Renae Nicklas Case Manager/Care Coordinator 9310 N 163rd East Ave, Owasso, OK 74055 2017-07-25
Find all providers in OWASSO

Competitor

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City OWASSO
Zip Code 74055

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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