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MARK L WOLRAICH MD NPI 1962470211


NPI Information

NPI: 1962470211
Provider Name: MARK L WOLRAICH, MD
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

PECOS Registration: Yes

Address:
1100 NE 13TH ST
CSC
OKLAHOMA CITY, OK
ZIP 73117
Phone: (405) 271-6824
Get Directions

Mark L Wolraich, MD is a developmental - behavioral pediatrics pediatrics in Oklahoma City, OK. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Mark L Wolraich, MD NPI is 1962470211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 NE 13TH ST
CSC
OKLAHOMA CITY, OK
ZIP 73117-039
Phone: (405) 271-6824

The NPI 1962470211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/12/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics22350OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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