Individual provider Active NPI

Mark Anderson, M.D.

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1184030439
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
32985 Issued in OK
Practice address
4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382
Phone
(405) 608-3800
Fax
(405) 608-3993
NPI assigned
Jul 8, 2014
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32985 OK
Cardiovascular Disease Physician 207RC0000X 59311 MN
Cardiovascular Disease Physician 207RC0000X 32985 OK Primary

Addresses

Primary practice location

4050 W Memorial Rd FL 3
Oklahoma City, OK 73120-8382

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385

Other practice location 1

1723 Kansas Ave
Woodward, OK 73801-2909
Phone (580) 256-6033

Other practice location 2

400 Fairview Ave Ste 10
Ponca City, OK 74601-1910
Phone (580) 762-9055

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address markanderson@direct.okheart.com Direct
Direct Messaging Address markanderson@direct.okheart.com Direct
Direct Messaging Address markanderson@direct.okheart.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200625001278 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416174123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Ardmore IncGroup PAC ID 8123011277, 13 clinicians
Ohh Physicians LLCGroup PAC ID 1759392079, 132 clinicians

Practice addresses (Care Compare)

1011 14TH Ave NW
Mercy Clinic Ardmore Pulmonary Servi
Ardmore, OK 73401-1828
Phone (580) 220-6551

4050 W Memorial Rd
FL 3
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59311MNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohh Physicians, LLC Cardiovascular Disease CurrentSince Jul 1, 2020 Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince Jul 16, 2024 Accepting new patients
Mercy Hospital Oklahoma City, Inc CurrentSince Feb 4, 2022 Accepting new patients
Mercy Hospital Oklahoma City, Inc Current Accepting new patients
Oklahoma Heart Hospital, LLC Cardiovascular Disease Past Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

100 McDougal Dr
Holdenville, OK 74848
Phone (405) 379-4200

4050 W Memorial Rd
#3
Oklahoma City, OK 73120

4050 W Memorial Rd
Ste A
Oklahoma City, OK 73120

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239

400 Fairview Ave
Ste 10
Ponca City, OK 74601
Phone (580) 762-7701

1723 Kansas Ave
Woodward, OK 73801
Phone (580) 256-4050

Interoperability endpoints

  • FHIR API: https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • Direct secure messaging: manderson22565@direct.okheart.com
  • Direct secure messaging: manderson492166@direct.integrisok.com
  • Direct secure messaging: markanderson@direct.okheart.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1184030439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD FL 3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1723 Kansas Ave",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738012909",
            "country_code": "US",
            "telephone_number": "580-256-6033",
            "fax_number": "580-256-6086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Fairview Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746011910",
            "country_code": "US",
            "telephone_number": "580-762-9055",
            "fax_number": "580-762-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "32985",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "59311",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "32985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markanderson@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1723 Kansas Ave",
            "city": "Woodward",
            "state": "OK",
            "country_code": "US",
            "postal_code": "738012909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markanderson@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Ave Ste 10",
            "city": "Ponca City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "746011910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markanderson@direct.okheart.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 W Memorial Rd Fl 3",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731208382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.