NPIMap

Individual provider Active NPI

Mark R Woodson, MD

  • Hospitalist Physician
  • Oklahoma City, OK
National Provider Identifier
1225032246
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
19384 Issued in OK
Practice address
3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone
(405) 657-3120
Fax
(405) 657-3122
NPI assigned
Jun 8, 2005
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 19384 OK Primary
Family Medicine Physician 207Q00000X 19384 OK

Addresses

Primary practice location

3524 NW 56TH St
Oklahoma City, OK 73112-4518

Mailing address

3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone (405) 657-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000522 OK Practitioner - General PracticePractitioner - Family Practice 6204808801 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Premier Paradox Inc.Group PAC ID 4183067481, 3 clinicians

Practice addresses (Care Compare)

2230 N Perkins Rd
Stillwater, OK 74075-3076
Phone (405) 780-9919

3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone (405) 657-3120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19384OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NR Bartlesville LLC Family Medicine CurrentSince Sep 16, 2024 Accepting new patients
Premier Paradox Inc Hospitalist CurrentSince Jan 23, 2024 Accepting new patients
NR Stillwater LLC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
NR Ardmore LLC CurrentSince Apr 7, 2025 Accepting new patients
Integris Cardiovascular Physicians LLC Past Accepting new patients
Select Specialty Hospital - Oklahoma City Inc Past Accepting new patients
Integris Cardiovsacular Physicians Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

2015 W Broadway St
Ste 10B
Ardmore, OK 73401
Phone (405) 724-6902

4140 SE Adams Rd
Ste 110
Bartlesville, OK 74006
Phone (918) 936-2991

3524 NW 56th St
Oklahoma City, OK 73112
Phone (405) 606-6700

3705 NW 63rd St
Ste 101
Oklahoma City, OK 73116
Phone (405) 286-9903

3705 NW 63rd St
Ste 200
Oklahoma City, OK 73116
Phone (405) 463-6700

1411 W 12th Ave
Ste D
Stillwater, OK 74074
Phone (405) 724-6902

Interoperability endpoints

  • Direct secure messaging: jwoodson@yourcarecommunity.org

Organizations & group practices 8

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 4

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1225032246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124518",
            "telephone_number": "405-657-3120",
            "fax_number": "405-657-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124518",
            "telephone_number": "405-657-3120",
            "fax_number": "405-657-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "19384",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "19384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.