Active NPI
Mark Wayne Elkington, M.D.
- Specialist
- Miami, OK
National Provider Identifier
1790846582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20887
- Practice address
- 130 A St SW
Miami, OK 74354-6806 - Phone
- (918) 542-1836
- NPI assigned
- Dec 13, 2006
- Last updated
- Oct 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20887 | OK | Primary |
| Psychiatry Physician | 2084P0800X | E-7032 | AR |
Addresses
Primary practice location
130 A St SW
Miami, OK 74354-6806
Mailing address
130 A St SW
Miami, OK 74354-6806
Phone (918) 542-1836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100207350B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20887 | OK | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piney Ridge Treatment Center, LLC | Past | Accepting new patients | |
| Vizion Health Oklahoma | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Miami, OK
- NPI 1619342136
-
dba Yellow Rock Behavioral Health
- Psychiatric Residential Treatment Facility
- Springdale, AR
- NPI 1447380423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1790846582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 A ST SW",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546806",
"telephone_number": "918-542-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 A ST SW",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546806",
"telephone_number": "918-542-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINGTON",
"first_name": "MARK",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "20887",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-7032",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100207350B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.