Active NPI
Mark Anderson, M.D.
- Cardiovascular Disease Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 32985
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Oklahoma College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59311 | MN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohh Physicians, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Mercy Hospital Ardmore, Inc. | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Current | 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
- https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
- https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
- manderson22565@direct.okheart.com
- manderson492166@direct.integrisok.com
- 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.
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1922192186
-
dba OHH Physicians
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1023087772
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1841442274
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
Cardiovascular Disease
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1841442274
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.