Marcus James Fidel · Psychiatry Physician

1401 Morris Dr, Okmulgee, OK 74447-6429

Overview

Marcus James Fidel is a Psychiatry Physician practicing in Okmulgee, Oklahoma. The National Provider Identifier (NPI) is #1306983218, which was assigned on January 31, 2007, and the registration record was last updated on October 8, 2025. The practitioner's main practice location is at 1401 Morris Dr, Okmulgee, OK 74447-6429; the contact telephone number is 9187564233. The primary taxonomy of Marcus James Fidel is Psychiatry Physician (2084P0800X), with specialization in Psychiatry. Marcus James Fidel is licensed to practice in the state of Oklahoma (#24062).

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Provider Information

NPI 1306983218
Entity Type Individual
Provider Name DR. MARCUS JAMES FIDEL
Gender Male
Credential MD
Practice Address 1401 Morris Dr
Okmulgee
OK 74447-6429
Practice Telephone 9187564233
Mailing Address 1401 Morris Dr
Okmulgee
OK 74447-6429
Mailing Telephone 9187564233
Certification Date 2025-10-08
Enumeration Date 2007-01-31
Last Update Date 2025-10-08
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 3779729942
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name MARCUS J FIDEL
Medical School UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Primary Specialty PSYCHIATRY
Organization Legal Name CREEK NATION HOSPITAL AND CLINICS
Address 10109 E 79th St
Tulsa
OK 74133-4564

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2084P0800XPsychiatry & NeurologyPsychiatry24062OK

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
24062OKOK STATE LICENSE NUMBEROther

Taxonomy Information

Primary Taxonomy

Code 2084P0800X
Taxonomy Psychiatry Physician
Classification Psychiatry & Neurology
Specialization Psychiatry
Grouping Allopathic & Osteopathic Physicians
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Location Information

Street Address 1401 MORRIS DR
City OKMULGEE
State OK
Zip Code 74447-6429
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429General Acute Care Hospital2015-04-23
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447Long Term Care Hospital2013-09-16
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429General Acute Care Hospital2013-11-19
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429Home Health Agency2013-11-19
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429Home Health Agency2015-04-23
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429General Acute Care Hospital2013-11-15
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429General Acute Care Hospital2014-10-01
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429General Acute Care Hospital2015-04-23
Allison Russell Barton 1401 Morris Dr, Okmulgee, OK 74447-6429Student in an Organized Health Care Education/Training Program2019-10-07
Creek Nation Hospital & Clinics 1401 Morris Dr, Okmulgee, OK 74447-6429General Acute Care Hospital2015-04-23
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
State of Oklahoma 900 E. Airport Rd., Okmulgee, OK 74447Skilled Nursing Facility2008-02-08
Kyler Childress 1893 South Wood Dr, Okmulgee, OK 74447Peer Specialist2022-03-09
Nathan Shane Wyatt 1201 S Belmont Ave, Baker Building - Suite 106, Okmulgee, OK 74447Pharmacist2007-02-20
Taquia Bagby 1117 Martin L King Dr., Okmulgee, OK 74447Mental Health Counselor2015-04-21
Tnt Dental Services PLLC 1829 S Wood Drive, Okmulgee, OK 74447General Practice Dentistry2007-04-12
Stephanie M Moses 1401 Dr R Alexander Dr., Okmulgee, OK 74447Adult Health Nurse Practitioner2021-06-10
Matthew Shane Davidson 1006 Bear Lane, Okmulgee, OK 74447Peer Specialist2024-08-14
Tsq Inc 1151 South Belmont, Suite 101, Okmulgee, OK 74447Family Medicine Physician2006-08-18
Emmanuel Jackson-Bishop 417 East 3rd Street, Okmulgee, OK 74447Case Manager/Care Coordinator2024-08-14
April Lynn Pendley 2360 Us Highway 62, Okmulgee, OK 74447Counselor2018-01-09
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.