Individual provider Active NPI

Mark Weissman, M.D.

  • Internal Medicine Physician
  • Bethany, OK
National Provider Identifier
1336365568
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15521 Issued in OK
Practice address
7815 NW 23Rd St
Bethany, OK 73008
Phone
(405) 792-2147
Fax
(405) 603-1465
NPI assigned
Apr 17, 2007
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15521 OK Primary

Addresses

Primary practice location

7815 NW 23Rd St
Bethany, OK 73008

Mailing address

7815 NW 23Rd St
Bethany, OK 73008-4947
Phone (405) 792-2147

Other identifiers 2

IdentifierTypeStateIssuer
374380YRHZOtherOKMEDICARE PTAN
100230000AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141112000881 OK Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Family Practice 3072735810 Reassigns benefits to 1 organization
I20160928000827 TX Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3072735810 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15521OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince May 13, 2017 Accepting new patients
Patriot Hyperbarics CurrentSince May 18, 2023 Accepting new patients
Cherokee Nation CurrentSince May 13, 2017 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Anadarko Indian Health Center CurrentSince Aug 8, 2016 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Lawton Indian Hospital PastSince Aug 8, 2016 Accepting new patients

Locations

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

7815 NW 23rd St
Bethany, OK 73008
Phone (405) 792-2147

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: mweissman732560@directa.mercy.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1336365568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084947",
            "telephone_number": "405-792-2147",
            "fax_number": "405-603-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "405-792-2147",
            "fax_number": "405-603-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-10-11",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "15521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "374380YRHZ",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230000A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

Verify at the official NPI Registry.