Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073343828 Individual Practitioner Female Practitioner

Marvis Mimba

General Practice • Oklahoma City, OK

Professional Overview & Biography Verified Profile Summary

Marvis Mimba is a registered healthcare professional specializing in General Practice in Oklahoma City, OK. Practice services are available at 4101 PERIMETER CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4101 Perimeter Center Dr

Oklahoma City, OK 731122302

Telephone 5637667014
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.4 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Oklahoma City, OK (175 Statewide)

Telehealth Adoption Rate
10.0% 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

CMS Verified: 2024-11-10
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 219763

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

2828 Nw 57th St

Oklahoma City, OK 731126814

Phone: 4054184777

Practice Associates & Co-Workers

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

2 Associated Practitioners
Marzena Villacorta

Nurse Practitioner - Gerontology

NPI 1386535946
Jalen Negrone

Nurse Practitioner - Family

NPI 1861340937

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location November 10, 2024

Registered at 4101 PERIMETER CENTER DR, OKLAHOMA CITY, OK 731122302 (Tel: 5637667014)

NPI Profile Active August 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2024

Registered at 2828 NW 57TH ST, OKLAHOMA CITY, OK 731126814 (Tel: 4054184777)

📍
Updated Business Mailing Address August 06, 2024

Registered at 2828 NW 57TH ST, OKLAHOMA CITY, OK 731126814 (Tel: 4054184777)

👤
Provider Name / Credentials Updated August 06, 2024

Recorded as MARVIS MIMBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2024

General Practice (License #219763 in OK)

🟢
Initial NPI Registration & Enumeration August 06, 2024

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: 1073343828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2024
Last Update: November 10, 2024
Sole Proprietor: No

Mailing Address

2828 Nw 57th St

Oklahoma City, OK 731126814

Phone: 4054184777

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.