Individual provider Active NPI

Mallory Schenk, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1609338110
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
89689 Issued in SC
Practice address
920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036
Phone
(405) 271-4351
NPI assigned
Apr 3, 2019
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 89689 SC Primary

Addresses

Primary practice location

920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036

Mailing address

920 Stanton L Young Blvd # 1140
Oklahoma City, OK 73104-5036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, VA, HI, OK5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20230801003100 SC Practitioner - Anesthesiology 1052772415 Reassigns benefits to 1 organization
I20230816001875 NC Practitioner - Anesthesiology 1052772415 Reassigns benefits to 1 organization
I20231120002359 VA Practitioner - Anesthesiology 1052772415 Reassigns benefits to 1 organization
I20240429001429 HI Practitioner - Anesthesiology 1052772415 Reassigns benefits to 1 organization
I20250424003383 OK Practitioner - Anesthesiology 1052772415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Anesthesia Medical Professionals PLLCGroup PAC ID 5991970279, 103 clinicians

Practice addresses (Care Compare)

2700 E Phillips Rd
Greer, SC 29650-4815
Phone (864) 235-2335

3300 NW Expressway St
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

6801 Gov GC Peery Hwy
Richlands, VA 24641-2194
Phone (276) 596-6000

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia Hawaii, LLC Anesthesiology CurrentSince Apr 15, 2024 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jul 18, 2023 Accepting new patients
Anesthesia Medical Professionals, PLLC Anesthesiology CurrentSince May 1, 2025 Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

2700 E Phillips Rd
Greer, SC 29650
Phone (864) 235-2335

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Interoperability endpoints

  • Direct secure messaging: mschenk180636@direct.integrisok.com

Organizations & group practices 3

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1609338110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD # 1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD STE 1140",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "MALLORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "89689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.