MARK STOVER SULLIVAN (MD) – Dermatology Physician, NPI 1073595377

MARK STOVER SULLIVAN (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 8667 (OK). The NPI Number for MARK STOVER SULLIVAN (MD) is 1073595377

Main info

Male
Sole Proprietor
Name
MARK STOVER SULLIVAN (MD)
NPI
1073595377
Phone
(405) 947-0676
Address
3366 NW EXPRESSWAY
Enumeration Date
14 November 2005
Last Update Date
8 August 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARK STOVER SULLIVAN (MD)

  • Northwest Expressway, Oklahoma City, Oklahoma County, Oklahoma, 73116-1530, United States

    SUITE 720

    OKLAHOMA CITY, OK 731124462

    Phone: (405) 947-0676

    Fax: (405) 945-4876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73112)

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Reviews

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Frequently asked questions

How is MARK STOVER SULLIVAN (MD) identified in CMS data?
CMS-hosted NPPES data lists MARK STOVER SULLIVAN (MD) with NPI 1073595377.
Does CMS list MARK STOVER SULLIVAN (MD) as active?
Yes — MARK STOVER SULLIVAN (MD) is active in the NPI listing used on this page.
What is MARK STOVER SULLIVAN (MD)'s specialty?
The listing groups MARK STOVER SULLIVAN (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARK STOVER SULLIVAN (MD)?
MARK STOVER SULLIVAN (MD)'s geographic hint is Oklahoma City, Oklahoma in our summary view.
Is the information about MARK STOVER SULLIVAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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