Mark Rosekelly, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6915 Issued in OK

Practice address

4086 Country Club Rd Ste 2
Duncan, OK 73533-5580

Phone

(580) 952-9221

NPI assigned

Jun 13, 2016

Last updated

May 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1356790133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4086 COUNTRY CLUB RD STE 2",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735335580",
            "telephone_number": "580-952-9221",
            "fax_number": "616-207-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4086 COUNTRY CLUB RD STE 2",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735335580",
            "telephone_number": "580-952-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEKELLY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Dale Rochell
• Kevin Roddy, DO
• Kailee Roe, DO
• Kaycie Christine Rogers, CCC-SLP
• Rosalia G. Scollard LPC, Inc.
• Stephanie M Rosekelly, CNM, APN
• Dana Patricia Rubio Rosero
• Jessica Diane Ryans
• Steven Emmanuel Saltiel, ARNP
• Sanford Clinic (Sanford Children's Clinic Duncan)

• Family Medicine Physician in Duncan, OK
• Providers in Duncan, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.