Active NPI
Mark Justin Parks, DO
- Obstetrics & Gynecology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 6719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2G4594 | Other | OK | MEDICARE |
| 200855730A | Medicaid | OK |
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
- Obstetrics/Gynecology
- Education
- Oklahoma State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
042 Murray
Stillwater, OK 74078-0001
Hospital & facility affiliations
- Oklahoma State University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma State University | Current | Accepting new patients | |
| Saints Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Integris Ambulatory Care Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Oklahoma State University | Current | 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
- mparks93585@direct.saintfrancis.com
- 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.
-
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
Obstetrics & Gynecology
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
Obstetrics & Gynecology
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Medical Specialty Clinic/Center
- Tulsa, OK
- NPI 1306882261
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
Obstetrics & Gynecology
-
- Public Health or Welfare Agency
- Oklahoma City, OK
- NPI 1184891525
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.