Mark Stover Sullivan, MD - Dermatology in Oklahoma City, OK

Mark Stover Sullivan, MD is a Dermatology physician based in Oklahoma City, Oklahoma. Mark Stover Sullivan is licensed to practice in Oklahoma (license number 8667) and his current practice location is 3366 Nw Expressway, Suite 720, Oklahoma City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (405) 947-0676.

NPI number for Mark Stover Sullivan is 1073595377 and his current mailing address is 3366 Nw Expressway, Suite 720, Oklahoma City, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073595377.

Contact Information

Mark Stover Sullivan, MD
3366 Nw Expressway, Suite 720,
Oklahoma City, OK 73112-4462
(405) 947-0676
(405) 945-4876



Physician's Profile

Full NameMark Stover Sullivan
GenderMale
SpecialityDermatology
Location3366 Nw Expressway, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073595377
  • Provider Enumeration Date: 11/14/2005
  • Last Update Date: 08/08/2008

Medical Identifiers

Medical identifiers for Mark Stover Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073595377NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 8667 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Stover Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Stover Sullivan, MD
3366 Nw Expressway, Suite 720,
Oklahoma City, OK 73112-4462

Ph: (405) 947-0676
Mark Stover Sullivan, MD
3366 Nw Expressway, Suite 720,
Oklahoma City, OK 73112-4462

Ph: (405) 947-0676

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› Verified 6 days ago


Dermatology Doctors in Oklahoma City, OK

Jason Matthew Hirshburg, M.D. PH.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: University Of Oklahoma Hsc - Dermatology, 619 N.e. 13th St, Oklahoma City, OK 73104
Phone: 405-271-4662    Fax: 405-271-4662
Raymond L Cornelison, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3727 Nw 63rd St Ste 205, Oklahoma City, OK 73116
Phone: 405-608-4494    Fax: 405-608-4504
Dr. Carlos Andres Garcia, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4805 S Western Ave, Oklahoma City, OK 73109
Phone: 405-636-1506    Fax: 405-636-1511
Dr. Brandon Rhinehart, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13100 N Western, Ste 301, Oklahoma City, OK 73114
Phone: 405-947-6647    Fax: 405-948-6647
Mark A Dawkins, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 13174 N Macarthur Blvd, Oklahoma City, OK 73142
Phone: 405-721-5555    Fax: 405-470-7093
James W Taira, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1211 N Shartel Ave, Suite 202, Oklahoma City, OK 73103
Phone: 405-235-7546    

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