DR. JACK E MARSHALL MD NPI 1982608873

NPI Information

  • NPI: 1982608873
  • Provider Name: DR. JACK E MARSHALL, MD
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 37D2054469
  • Address: 14100 PARKWAY COMMONS DR STE 102
    OKLAHOMA CITY, OK
    ZIP 73134
  • Phone: (406) 286-9820

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NPI Details

DR. Jack E Marshall, MD is an interventional pain medicine pain medicine in Oklahoma City, OK. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Jack E Marshall, MD NPI is 1982608873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14100 PARKWAY COMMONS DR STE 102
OKLAHOMA CITY, OK
ZIP 73134-036
Phone: (406) 286-9820
Fax: (405) 286-9813

The NPI 1982608873 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 37D2054469 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 2/20/2020.

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
1207L00000XAnesthesiology15252OKLAHOMANo
2208VP0014XPain MedicineInterventional Pain Medicine15252OKLAHOMAYes

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
1050058014OTHEROKLAHOMAOLD MEDICARE RR
2100124480AMEDICAIDOKLAHOMA
3P00445607OTHEROKLAHOMAMEDICARE RR

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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