NPIMap

Individual provider Active NPI

Mark W. Wood, M.D.

  • Otology & Neurotology Physician
  • Edmond, OK
National Provider Identifier
1760589733
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
17414 Issued in OK
Practice address
3824 S Boulevard Ste 160
Edmond, OK 73013
Phone
(405) 607-7600
Fax
(405) 607-3575
NPI assigned
Sep 20, 2006
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 17414 OK Primary

Addresses

Primary practice location

3824 S Boulevard Ste 160
Edmond, OK 73013

Mailing address

3705 NW 63Rd St Ste 212
Oklahoma City, OK 73116-1937
Phone (405) 755-6651

Other practice location 1

11500 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 607-7600

Other identifiers 1

IdentifierTypeStateIssuer
100107680AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000835 OK Practitioner - Otolaryngology 2466443767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Oklahoma College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Otolaryngology Associates LLCGroup PAC ID 9739136102, 15 clinicians

Practice addresses (Care Compare)

3824 S Boulevard
Suite 160
Edmond, OK 73013-5780
Phone (405) 562-1810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Otolaryngology Associates, LLC CurrentSince Jul 1, 2018 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc Past Accepting new patients
Integris Health Edmond, Inc Past Accepting new patients

Locations

3824 S Boulevard
Ste 160
Edmond, OK 73013
Phone (405) 348-2424

3650 W Rock Creek Rd
Norman, OK 73072
Phone (405) 364-2666

11500 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 548-4300

3705 NW 63rd St
Ste 212
Oklahoma City, OK 73116
Phone (405) 552-0401

Interoperability endpoints

  • Direct secure messaging: mark.wood.1@17407.direct.athenahealth.com

Organizations & group practices 5

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 9

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1760589733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-755-6651",
            "fax_number": "405-755-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S BOULEVARD STE 160",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-607-7600",
            "fax_number": "405-607-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 N Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73120",
            "country_code": "US",
            "telephone_number": "405-607-7600",
            "fax_number": "405-607-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARK",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OK",
            "license": "17414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.