MARK L WOLRAICH


Address: 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039
Phone: 4052716824

MARK L WOLRAICH (NPI# 1962470211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962470211
Entity Type Individual
Full Name MARK L WOLRAICH
Credential MD
Practice Address 1100 Ne 13th St
Csc
Oklahoma City
OK 73117-1039
Mailing Address 1122 Ne 13th St
Ori236
Oklahoma City
OK 73117-1039
Practice Telephone 4052716824
Mailing Telephone 4052711515
Enumeration Date 2006-03-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
22350 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 1100 NE 13TH ST
CSC
City OKLAHOMA CITY
State OK
Zip Code 73117-1039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023086519 Barbara L Bonner Psychologist 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 2006-03-09
1558998377 Jennifer Daer Shields Psychologist 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2020-03-23
1700412970 Hannah Frye Counselor 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2020-03-19
1659933539 Lisa Delynn Oliver Case Manager/Care Coordinator 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2019-07-01
1639645708 Elena M. Doskey Psychologist 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2018-10-16
1558836502 Chloe Paige Byrd Counselor 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2018-10-05
1508351412 Natalie Gallo Counselor 1100 Ne 13th St, Oklahoma City, OK 73117-1099 2018-06-25
1417440173 Paul Michael Shawler Psychologist 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2018-06-07
1538688262 Erin Kate Taylor Psychologist 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2017-09-13
1518483924 Shawna Standiford Counselor 1100 Ne 13th St, Oklahoma City, OK 73117-1039 2017-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922623271 Katelyn Gerth Student in an Organized Health Care Education/Training Program University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 2020-06-12
1114401387 Northstar Counseling Associates, LLC Counselor 4540 E Reno Ave, Del City, OK 73117 2018-09-24
1801300710 Kenneth Belyeu Peer Specialist 625 N Nebraska, Okc, OK 73117 2017-11-30
1215483029 Brian Behnum Minavi Dentist 1201 N. Stonewall Ave., Oklahoma City, OK 73117 2016-08-31
1649631409 April Ajanwachukwu Social Worker 1309 N Nebraska Ave, Oklahoma City, OK 73117 2016-03-08
1518340405 Shachi Shah Dentist 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 2015-07-09
1063829067 Lauren Marie Pierce Speech-Language Pathologist 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 2014-07-22
1306195235 Rachel Devecchio Case Manager/Care Coordinator 1300 Ne 13th St, Oklahoma City, OK 73117 2012-09-06
1265780837 Tiffany Dawn Stokely Counselor 1701 E Park Pl, Oklahoma, OK 73117 2012-08-29
1689935645 Everett House Behavioral Analyst 1100 Ne 15th St, Oklahoma Cituy, OK 73117 2012-06-06
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336194307 Laurie Ann Kukas Pediatrics 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6412 2006-05-24
1154632610 Laurie A. Kukas, D. O. Faap Pediatrics 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6400 2010-06-29
1740258052 Loy Donna Markland Pediatrics 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 2006-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336796242 Foundations Therapy, Pllc Pediatrics 3905 N Harrison St, Shawnee, OK 74804-1426 2019-08-25
1285797910 Willienell H Bryant-pitts Pediatrics 216 N Murray St, Helena, OK 73741-1017 2006-12-17
1639783012 Relfections Behavioral Health Pediatrics 502 W Atlanta St, Broken Arrow, OK 74012-7004 2020-09-03
1083231724 Broken Arrow Pediatric Behavioral Health LLC Pediatrics 502 W Atlanta St, Broken Arrow, OK 74012-7004 2020-06-29
1033562202 Behavioral Pediatrics of Tulsa Plc Pediatrics 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 2016-07-22
1154695278 Sanford World Clinics Pediatrics 2502 W Elk Ave, Duncan, OK 73533-1562 2012-03-07
1235403023 Newborn Specialists of Tulsa, PC Pediatrics 1805 E 15th St, Tulsa, OK 74104-4610 2012-02-27
1760544068 Daryl Leroy Scurry Pediatrics 1515 Ne Lawrie Tatum Rd, Lawton Indian Hospital, Lawton, OK 73507-3002 2006-12-14
1639282270 Jane Scott Pediatrics 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 2006-08-17
1912010570 Cynthia J. Fuller Pediatrics 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 2006-08-17
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Competitor

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City OKLAHOMA CITY
Zip Code 73117

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Dataset Information

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.

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