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Deactivated NPI 1558786111 Deactivated / Inactive NPI Female Practitioner

Mary Martin

Case Manager/Care Coordinator • Idabel, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Martin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 19, 2014
NPI Deactivation Date August 02, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Mary Martin was a registered Case Manager/Care Coordinator practicing in Idabel, OK. Throughout an active medical career spanning 9 years, Mary Martin provided care at the practice location at 810 SE AVE L until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

810 Se Ave L

Idabel, OK 747457808

Telephone 5802126964
Fax 5802986723

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Idabel, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.6 Yrs
Regional Practice Density
35 Specialists

Practicing in Idabel, OK (8984 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Sherry Russo

Peer Specialist

NPI 1053056952
Casey Ketchum , BA

Peer Specialist

NPI 1083543136

Bachelor of Arts

Tabatha Foust

Counselor - Professional

NPI 1093977787
Jesika Young

Health Educator

NPI 1104213040
NPI 1164373478

Master of Social Work

Dalyn Thompson

Case Manager/Care Coordinator

NPI 1245621846

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active July 09, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2014

Registered at 810 SE AVE L, IDABEL, OK 747457808 (Tel: 5802126964)

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Updated Business Mailing Address July 09, 2014

Registered at 810 SE AVE L, IDABEL, OK 747457808 (Tel: 5802126964)

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Provider Name / Credentials Updated July 09, 2014

Recorded as MARY MARTIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2014

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration February 19, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558786111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2014
Last Update: July 09, 2014
Deactivation Date: August 02, 2023

Mailing Address

810 Se Ave L

Idabel, OK 747457808

Phone: 5802126964

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.