Search › Missouri › 207V00000X
Mark Wasserman, MD
NPI 1225130933 · on the registry since 2006
Practice
- Address
- 965 Mattox Dr
Sullivan, MO 63080 - Phone
- (573) 860-6000
- Fax
- (573) 860-6016
- Organisation at this address
- Parkcrest Orthopedics Llc
Midwest Acute Care Consultants Pc
Missouri Baptist Hospital Of SullivanInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 2100 Madison Ave, Granite City, IL
- 1103 W Liberty St, Farmington, MO
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri