Mark Alan Medlin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16978 Issued in OK

Practice address

744 W 9TH St
Tulsa, OK 74127-9020

Phone

(918) 492-7722

Fax

(918) 357-5859

NPI assigned

Jun 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oakwood Springs Physician Group LLCGroup PAC ID 1658658026, 16 clinicians

Absentee Shawnee Tribal Health Authority, IncGroup PAC ID 5799171088, 83 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absentee Shawnee Tribal Health Authority, Inc.

  dba Absentee Shawnee Tribal Health System - Shawnee Clinic

  • Multi-Specialty Clinic/Center
  • Shawnee, OK
  • NPI 1942253521
  Medicare reassignment Care Compare group NPD
• Oakwood Springs Physician Group LLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1326588807
  Medicare reassignment Care Compare group NPD
• Absentee Shawnee Tribal Health Authority, Inc.

  dba Absentee Shawnee Tribal Health System- Little Axe Health Center

  • Multi-Specialty Clinic/Center
  • Norman, OK
  • NPI 1124152962
  NPD
• John B White, MD PC

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1891988424
  NPD (past)
• Oklahoma Medical and Psychiatric Services Inc

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1083807366
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164459582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140156",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740140002",
            "telephone_number": "918-357-5859",
            "fax_number": "918-357-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279020",
            "telephone_number": "918-492-7722",
            "fax_number": "918-357-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "16978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Medina
• Elizabeth Medina
• Maria Reynalda Medina
• Melissa Leigh Medley, ATHLETIC TRAINER
• Bonnie Medlicott, COTA
• Tammy M Medlin
• Alexia Knox Medlock, LCSW
• Sara Anne Mednansky
• Mednow Primary Care Center LLC
• Mednow Urgent Care Center LLC

• Psychiatry Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.