MARANATHA FAMILY COMPANY LLC
NPI 1609584978
Pediatrics in Clinton, OK

Active since November 07, 2022
341 S 28TH ST, CLINTON, OK 73601(580) 323-8747 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maranatha Family Company Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARANATHA FAMILY COMPANY LLC (NPI 1609584978), doing business as Maranatha Pediatrics, is a healthcare organization registered as a pediatrics in Clinton, Oklahoma and active in the NPI registry since November 2022. The organization lists Ejeehi Umobuarie, Member, as its authorized official.

NPPES Registry Identity

NPI1609584978
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMARANATHA FAMILY COMPANY LLC
Location Address341 S 28TH STClinton, OK 73601-3701
Mailing Address2409 Sunup DrClinton, OK 73601-2905 · (908) 887-2724
Organization SubpartNo
Authorized OfficialEjeehi UmobuarieMember · (908) 887-2724
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1609584978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
341 S 28TH ST, Clinton, OK 73601

Other Names 1

Doing Business AsMaranatha Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maranatha Family Company Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Maranatha Family Company LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pediatric Medicine
NPI 1154633535
341 S 28TH ST
Clinton, OK 73601
(580) 323-8747
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053016642
1303 N WASHINGTON ST
Weatherford, OK 73096
(580) 772-2820
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maranatha Family Company LLC's NPI number?

The NPI number for Maranatha Family Company LLC is 1609584978. It was assigned to this organization in the NPPES registry on November 7, 2022. The provider is doing business as Maranatha Pediatrics.

Where is Maranatha Family Company LLC located?

Maranatha Family Company LLC is located at 341 S 28th St, Clinton, OK 73601. The listed phone number is (580) 323-8747.

What is Maranatha Family Company LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maranatha Family Company LLC enrolled in Medicare?

Yes. Maranatha Family Company LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maranatha Family Company LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Maranatha Family Company LLC, in Nurse Practitioner and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maranatha Family Company LLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.