Mark Wayne Wood (NPI# 1760589733, PAC ID# 2466443767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1760589733 |
| PAC ID by PECOS | 2466443767 |
| Professional Enrollment ID | I20040524000835 |
| Full Name | Mark Wayne Wood |
| Organization Legal Name | OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC |
| Address |
3824 S Boulevard Suite 160 Edmond OK 73013-5780 |
| Phone Number | 4055621810 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9739136102 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370203 | COMMUNITY HOSPITAL, LLC |
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 3824 S Boulevard, Suite 160, Edmond, OK 73013-5780 | 4055621810 | OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_091_overall | Acute Otitis Externa (AOE): Topical Therapy | 66% | |
| MIPS_EC_093_overall | Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use | 100% |
| Organization Legal Name | OKLAHOMA OTOLARYNGOLOGY ASSOCIATES LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey A Frederick | Physician Assistant | Oklahoma Otolaryngology Associates LLC | 3650 W Rock Creek Rd, Norman, OK 73072-2202 |
| Ivan Wayne | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3650 W Rock Creek Rd, Norman, OK 73072-2202 |
| Jeremy A Moore | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3650 W Rock Creek Rd, Norman, OK 73072-2202 |
| Brandon W Pierson | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3650 W Rock Creek Rd, Norman, OK 73072-2202 |
| Shannon K Kaneaster | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3650 W Rock Creek Rd, Norman, OK 73072-2202 |
| John M Gilchrist | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3824 S Boulevard, Suite 160, Edmond, OK 73013-5780 |
| Jeffrey A Buyten | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Steven V Richards | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 4140 W Memorial Rd, Suite 116, Oklahoma City, OK 73120-8300 |
| Jonathon M. Pillow | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3824 S Boulevard, Suite 160, Edmond, OK 73013-5780 |
| Wayne E Berryhill | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3650 W Rock Creek Rd, Norman, OK 73072-2202 |
| Street Address |
3824 S BOULEVARD SUITE 160 |
| City | EDMOND |
| State | OK |
| Zip | 73013-5780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry D Balzer | Family Medicine | Family Medicine Associates of Edmond LLC | 3824 S Boulevard, Suite 160, Edmond, OK 73013-5780 |
| John M Gilchrist | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3824 S Boulevard, Suite 160, Edmond, OK 73013-5780 |
| Jonathon M. Pillow | Otolaryngology | Oklahoma Otolaryngology Associates LLC | 3824 S Boulevard, Suite 160, Edmond, OK 73013-5780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Senthil K Raju | Family Medicine | 11824 Slash Pine Dr, Edmond, OK 73013-0462 | |
| Dinah S Cloud | Psychologist, Clinical | 929 Nw 164th St, Suite 111, Edmond, OK 73013-1002 | |
| Lori A Fredrick | Diagnostic Radiology | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Joseph Davey | Orthopedic Surgery | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Sara Kathleen Watson | Family Medicine | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Neadum B Odum | Chiropractic | 15100 Traditions Blvd, Suite 1, Edmond, OK 73013-1184 | |
| Ashley D Mathias | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Tanya M Rennie | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Michael Daniel Spieker | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Amer B Nouh | Neurology | 1417 Nw 150th St, Neuro Pain Care, Edmond, OK 73013-1305 | |
| Find all physicians in zip 73013 | |||
| City | EDMOND |
| Zip Code | 73013 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | EDMOND + OTOLARYNGOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.