MARK STOVER SULLIVAN MD
NPI 1073595377
Dermatology in Oklahoma City, OK

Active since November 14, 2005
3366 NW EXPRESSWAY, SUITE 720, OKLAHOMA CITY, OK 73112(405) 947-0676(405) 945-4876 Get Directions Write a Review

NPPES record last updated: August 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Stover Sullivan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK STOVER SULLIVAN MD (NPI 1073595377) is an individual dermatology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (8667) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1073595377
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMARK STOVER SULLIVANCredential: MD
Location Address3366 NW EXPRESSWAY, SUITE 720Oklahoma City, OK 73112-4462
Mailing Address3366 Nw Expressway, Suite 720Oklahoma City, OK 73112-4462 · (405) 947-0676 · Fax (405) 945-4876
Fax(405) 945-4876
Sole ProprietorYes
Enumeration DateNovember 14, 2005
Last NPPES UpdateAugust 8, 2008
NPI 1073595377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OK · 8667
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3366 NW EXPRESSWAY, Oklahoma City, OK 73112

Other Identifiers 1

Medicare UPIND42865OK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3366 NW EXPRESSWAY, BUILDING D, SUITE 660
OKLAHOMA CITY, OK 73112
Internal Medicine (Nephrology)
3366 NW EXPRESSWAY, STE 550
OKLAHOMA CITY, OK 73112
Clinic/Center (Medical Specialty)
3366 NW EXPRESSWAY, SUITE 330
OKLAHOMA CITY, OK 73112
Clinic/Center (Endoscopy)
3366 NW EXPRESSWAY, SUITE 400
OKLAHOMA CITY, OK 73112
Technician, Other (Renal Dialysis)
3366 NW EXPRESSWAY, SUITE 670
OKC, OK 73112
Internal Medicine (Gastroenterology)
3366 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
Internal Medicine (Nephrology)
3366 NW EXPRESSWAY, STE 550
OKLAHOMA CITY, OK 73112
Nurse Practitioner (Family)
3366 NW EXPRESSWAY, SUITE 720
OKLAHOMA CITY, OK 73112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Sullivan's NPI number?

The NPI number for Mark Sullivan is 1073595377. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Mark Sullivan located?

Mark Sullivan practices at 3366 NW Expressway Suite 720, Oklahoma City, OK 73112. The listed phone number is (405) 947-0676.

What is Mark Sullivan's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Mark Sullivan was last updated on August 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.