MARIOLGA MERCADO DO PC NPI 1114125911

NPI Information

  • NPI: 1114125911
  • Provider Name: MARIOLGA MERCADO DO PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MARI MERCADO, D.O.
  • Address: 1615 S EUCALYPTUS AVE
    SUITE 211
    BROKEN ARROW, OK
    ZIP 74012
  • Phone: (918) 369-5505

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NPI Details

MARIOLGA MERCADO DO PC is a family medicine in Broken Arrow, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARIOLGA MERCADO DO PC NPI is 1114125911. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mari Mercado, D.o..

The provider's business location address is:

1615 S EUCALYPTUS AVE
SUITE 211
BROKEN ARROW, OK
ZIP 74012-990
Phone: (918) 369-5505
Fax: (918) 369-5508

The provider's authorized official is Mariolga Mercado .
The authorized official title is President and has the following contact phone number (918) 369-5505.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 7/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4101OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I45372MEDICARE UPINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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