Main Medical Clinic LLC
NPI 1710758966 · Family Nurse Practitioner · Tishomingo, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Medical Clinic LLC is a Family Nurse Practitioner organization in Tishomingo, OK (NPI 1710758966).
Provider details
- NPI number
- 1710758966
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sharon Marshall, Owner(817) 739-5848
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Main Street Medical
Registry dates
- Enumerated
- 2024-01-15
- Last updated
- 2024-01-15
- Certified
- 2024-01-15
Frequently asked questions
- What is Main Medical Clinic LLC's NPI number?
- Main Medical Clinic LLC's National Provider Identifier (NPI) is 1710758966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Medical Clinic LLC?
- Main Medical Clinic LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Main Medical Clinic LLC located?
- Main Medical Clinic LLC's practice location on file with NPPES is 108 W Main St, Tishomingo, OK 73460-1723.
- What is Main Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Main Medical Clinic LLC is (580) 774-3548.
- Does Main Medical Clinic LLC accept Medicare?
- Main Medical Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Medical Clinic LLC?
- The authorized official listed on Main Medical Clinic LLC's NPPES record is Sharon Marshall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Medical Clinic LLC's NPI active?
- Yes — Main Medical Clinic LLC's NPI (1710758966) is active in the NPPES registry as of the last update on 2024-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.