Active NPI
Mark D. Olbert M.D., PLLC
- Diagnostic Radiology Physician
- Oklahoma City, OK
National Provider Identifier
1255790333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MARK D. OLBERT M.D., PLLC
- Practice address
- 5200 E I 240 Service Rd
Oklahoma City, OK 73135-2607 - Phone
- (405) 628-6000
- Fax
- (405) 628-6916
- NPI assigned
- Feb 17, 2016
- Last updated
- Jan 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark D Olbert, M.D.
- Title
- Sole Proprietor
- Phone
- (405) 696-3687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OK | Primary |
Addresses
Primary practice location
5200 E I 240 Service Rd
Oklahoma City, OK 73135-2607
Mailing address
PO Box 268821
Oklahoma City, OK 73126-8821
Phone (405) 652-0981
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Oklahoma City, OK
- NPI 1457311474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547683200000",
"number": "1255790333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268821",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268821",
"telephone_number": "405-652-0981",
"fax_number": "903-797-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 E I 240 SERVICE RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731352607",
"telephone_number": "405-628-6000",
"fax_number": "405-628-6916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK D. OLBERT M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-17",
"last_updated": "2019-01-17",
"status": "A",
"authorized_official_last_name": "OLBERT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "405-696-3687",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.