MARK D OLBERT (NPI# 1457311474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457311474 |
| Entity Type | Individual |
| Full Name | MARK D OLBERT |
| Credential | MD |
| Practice Address |
5200 E I 240 Service Rd Oklahoma City OK 73135-2607 |
| Mailing Address |
Po Box 268821 Oklahoma City OK 73126-8821 |
| Practice Telephone | 4056286000 |
| Practice Fax Number | 4056286916 |
| Mailing Telephone | 4056520981 |
| Mailing Fax Number | 4052661088 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
15788 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100106910A | 05 |
| Street Address |
5200 E I 240 SERVICE RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73135-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225642713 | Catherine Eugenia Bardeaux | Dietitian, Registered | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2020-09-02 |
| 1548881188 | Mindy Erickson | Speech-Language Pathologist | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2610 | 2020-05-06 |
| 1407416522 | Tericka Small | Nurse Practitioner | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2610 | 2019-06-20 |
| 1467937417 | Angela Kristine Ama | Nurse Practitioner | 5200 E I 240 Service Rd, Oklahoma City, OK 73135 | 2018-09-26 |
| 1255816286 | Kailee Ann Anderson | Registered Nurse | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2018-09-25 |
| 1255790333 | Mark D. Olbert M.d., Pllc | Radiology | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2016-02-17 |
| 1356743991 | Joseph A Andrezik, M.d., Pllc | Radiology | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2014-09-25 |
| 1699064469 | Vesna Kalanj | Nurse Practitioner | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2011-04-01 |
| 1003127952 | Ohh Physicians South, LLC | Psychologist | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2010-06-25 |
| 1730215708 | Chanda T Kersey | Physician Assistant | 5200 E I 240 Service Rd, Oklahoma Heart Hospital South Wound Care Center, Oklahoma City, OK 73135-2607 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1649802117 | Everest Rehabilitation Hospital Okc, LLC | Rehabilitation Hospital | 7900 Midamerica Blvd, Oklahoma City, OK 73135 | 2020-02-12 |
| 1225592496 | Crimson Spire Pharmacy | Pharmacy | 5600 S.e. 67 Str, Suite A, Okc, OK 73135 | 2019-01-22 |
| 1285174201 | Yizhen Elizabeth Liu | Student in an Organized Health Care Education/Training Program | 1040, 7050 S Air Depot Blvd, Tinker Afb, OK 73135 | 2017-02-24 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 1215302641 | Darryl English II | Case Management | 4328 S.e. 46th Street Apt#160, Oklahoma City, OK 73135 | 2015-12-10 |
| 1063838639 | Charles Lloyd Wilson | Hospitalist | Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 | 2014-03-06 |
| 1669809877 | Bodyworx Physical Therapy, Pllc | Physical Therapist | 5617 S. E. 67th Street, Oklahoma City, OK 73135 | 2013-10-02 |
| 1578815262 | Kenyatta Lampley | Behavioral Analyst | 5712 Se 86th, Oklahoma City, OK 73135 | 2012-10-05 |
| Find all providers in zip 73135 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053601237 | Anjali Lal | Radiology | 940 Ne 13th St Ste 4g4250, Oklahoma City, OK 73104 | 2011-04-08 |
| 1295045433 | Oliver A. Cvitanic Md, PC | Radiology | 230 Sw 80th St, Oklahoma City, OK 73139-8107 | 2010-10-20 |
| 1356652515 | Franklin C. Nwoke | Radiology | 1325 N Walker Ave Apt 428, Oklahoma City, OK 73103-6411 | 2010-06-23 |
| 1215257225 | Michael P Murphy | Radiology | 13108 Red Cedar Cir, Oklahoma City, OK 73131-1860 | 2010-06-02 |
| 1568787489 | Mohamed Nabil Attaya | Radiology | 1100 North Lindsay, University of Oklahoma, Oklahoma City, OK 73104 | 2010-04-03 |
| 1396876025 | Lawrence Churng-shyuh Fan | Radiology | 5300 W Memorial Rd, Apt. 22p, Oklahoma City, OK 73142 | 2007-03-07 |
| 1780762195 | Christian Leigh Koopman | Radiology | 940 N.e. 13th St, Garrison Tower, Suite 4g4250, Radiological Sciences, Oklahoma City, OK 73104 | 2006-11-02 |
| 1891886354 | Mobile X-ray Services Inc | Radiology | 8200 N Classen Blvd, Suite 123, Oklahoma City, OK 73114-2128 | 2006-09-27 |
| 1538267208 | Oliver Anthony Cvitanic | Radiology | 9901 S Pennsylvania Ave, Oklahoma City, OK 73159-6920 | 2006-09-20 |
| 1972522845 | T.h. Molskness D.o. | Radiology | 11205 Greenbriar Chase St, Oklahoma City, OK 73170-3218 | 2006-07-19 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73135 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.