Individual provider Active NPI

Mark Justin Parks, DO

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1205336229
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6719 Issued in OK
Practice address
717 S Houston Ave Ste 200
Tulsa, OK 74127-9005
Phone
(918) 586-4500
Fax
(918) 586-4528
NPI assigned
Feb 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6719 OK Primary

Addresses

Primary practice location

717 S Houston Ave Ste 200
Tulsa, OK 74127-9005

Mailing address

5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701

Other practice location 1

6126 E 61st St
Tulsa, OK 74136-0000
Phone (918) 294-3430

Other practice location 2

2450 N Harvard Ave
Tulsa, OK 74115-3140
Phone (918) 508-7199

Other identifiers 2

IdentifierTypeStateIssuer
2G4594OtherOKMEDICARE
200855730AMedicaidOK

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
I20220728001300 OK Practitioner - Obstetrics/Gynecology 6305228073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

042 Murray
Stillwater, OK 74078-0001

Hospital & facility affiliations

  • Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University CurrentSince Jul 15, 2022 Accepting new patients
Saints Medical Group, LLC Obstetrics & Gynecology CurrentSince Apr 4, 2025 Accepting new patients
Integris Ambulatory Care Corporation Obstetrics & Gynecology CurrentSince Oct 3, 2025 Accepting new patients
Saints Medical Group, LLC CurrentSince Apr 4, 2025 Accepting new patients
Oklahoma State University CurrentSince Jul 15, 2022 Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients
St Anthony Shawnee Hospital Inc Obstetrics & Gynecology Past Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
State of Oklahoma Past Accepting new patients
Oklahoma State University Obstetrics & Gynecology Past Accepting new patients

Locations

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

Dept 2563
Tulsa, OK 74182

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: mparks93585@direct.saintfrancis.com
  • Direct secure messaging: mparks530898@direct-ehr-ssmhc.com

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1205336229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279005",
            "telephone_number": "918-586-4500",
            "fax_number": "918-586-4528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6126 E 61st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741360000",
            "country_code": "US",
            "telephone_number": "918-294-3430",
            "fax_number": "918-294-3910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 N Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741153140",
            "country_code": "US",
            "telephone_number": "918-508-7199",
            "fax_number": "918-508-7172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "MARK",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "6719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2G4594",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200855730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.