Active NPI
Mark Alan Sheaman, PAC
- Physician Assistant
- Ardmore, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA484
- Practice address
- 2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206 - Phone
- (580) 223-4795
- Fax
- (580) 223-5184
- NPI assigned
- Apr 12, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA484 | OK | Primary |
Addresses
Primary practice location
2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206
Mailing address
2002 12TH Ave NW
Suite B
Ardmore, OK 73401-1206
Phone (580) 223-4795
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
941 W I 35 Frontage Rd
Suite 164
Edmond, OK 73034-7375
Phone (405) 285-2994
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA484 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Plus LLC | Current | Accepting new patients | |
| Ortho Plus Holdings LLC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
2419 N Commerce St
Ste B
Ardmore, OK 73401
Phone (580) 226-7587
301 Lilac Dr
Ste 140
Edmond, OK 73034
Phone (405) 906-3755
941 W I 35 Frontage Rd
Ste 164
Edmond, OK 73034
Phone (405) 285-2994
12301 S Western Ave
Ste A3
Oklahoma City, OK 73170
Phone (405) 200-1869
Interoperability endpoints
- https://api.platform.athenahealth.com/13205/brand/1/csg/1/fhir/r4
- mark.sheaman.1@13205.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Edmond, OK
- NPI 1962861625
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Oklahoma City, OK
- NPI 1548620529
-
- Orthopaedic Surgery Physician
- Ardmore, OK
- NPI 1821975764
-
dba Bone & Joint Clinic of Southern Oklahoma
- Orthopaedic Surgery Physician
- Ardmore, OK
- NPI 1376656546
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Ardmore, OK
- NPI 1477223451
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417911181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 12TH AVE NW",
"address_2": "SUITE B",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011206",
"telephone_number": "580-223-4795",
"fax_number": "580-223-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 12TH AVE NW",
"address_2": "SUITE B",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734011206",
"telephone_number": "580-223-4795",
"fax_number": "580-223-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAMAN",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "PA484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.