MARK OREN EBERT (NPI# 1801882097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801882097 |
| Entity Type | Individual |
| Full Name | MARK OREN EBERT |
| Credential | MD |
| Practice Address |
3300 Nw Expressway Oklahoma City OK 73112-4418 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4059493401 |
| Practice Fax Number | 4059455422 |
| Mailing Telephone | 4059493401 |
| Mailing Fax Number | 4059455422 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 13755 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100252120B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609901610 | Mark Douglas Ebert | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2007-02-22 |
| Street Address |
3300 NW EXPRESSWAY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567848 | Gregory W Dinwiddie | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2005-06-02 |
| 1760083554 | Cristin Michelle Fong | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-11-06 |
| 1578160487 | Jennifer Bauman | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-10-04 |
| 1013525062 | Siera Alexis Freeman | Physical Therapist | 3300 Nw Expressway, Oklahoma City, OK 73112 | 2020-07-15 |
| 1447878152 | Sabrina Smith | Registered Nurse | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-07-09 |
| 1881219756 | Paul Rakowski | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-06-16 |
| 1902429707 | Alex D Dumontier | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-05-27 |
| 1417577305 | Oklahoma Emergency Physicians LLC | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
| 1871113761 | Oklahoma Hospital Medicine Physicians LLC | Internal Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
| 1043839459 | Taylor Egbert | Student in an Organized Health Care Education/Training Program | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1780201467 | Wesley Vaughan Md, Pllc | Obstetrics & Gynecology | 13921 N Meridian Ave Ste 200, Oklahoma City, OK 73134-1104 | 2020-06-29 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1568917037 | Chris A Lane Do Inc PC | Obstetrics & Gynecology | 4505 Blackberry Run, Oklahoma City, OK 73112-6157 | 2016-08-24 |
| 1710320627 | Hugh Christopher Gardner Nadeau | Obstetrics & Gynecology | 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 | 2013-04-10 |
| 1649613688 | Katherine Ann Smith | Obstetrics & Gynecology | 825 Ne 10th St # 5d, Oklahoma City, OK 73104-5417 | 2013-04-09 |
| 1356602080 | Marta Maxted | Obstetrics & Gynecology | 800 Sl Young Blvd, Aat 2475, Oklahoma City, OK 73104 | 2012-05-29 |
| 1104190479 | Philip J Maguire | Obstetrics & Gynecology | 1124 Nw 50th St, Oklahoma City, OK 73118-4402 | 2012-03-02 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.