MEDICARE: MARK R STOREY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	E2669	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578550851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK R STOREY MD

Provider Business Mailing Address
First Line	:	5901 W MEMORIAL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-2015
Country	:	US
Telephone Number	:	405-773-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 W MEMORIAL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-2015
Country	:	US
Telephone Number	:	405-773-6700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	05/26/2026

Similar Medicare Providers

1619946068 — ROBERT C GASTON DO
Practice Location Address:

5911 W MEMORIAL RD
OKLAHOMA CITY, OK
73142-2015

Practice Phone: 405-773-6530
Practice Fax:

1114964855 — EUGEN B HUG M.D.
Practice Location Address:

5901 W MEMORIAL RD
OKLAHOMA CITY, OK
73142-2015

Practice Phone: 405-773-6700
Practice Fax: 405-720-3910

1457393894 — KIRAN PRABHU M.D.
Practice Location Address:

5901 W MEMORIAL RD
OKLAHOMA CITY, OK
73142-2015

Practice Phone: 405-369-7819
Practice Fax:

1578599304 — GARY L LARSON M.D.
Practice Location Address:

5911 W MEMORIAL RD
OKLAHOMA CITY, OK
73142-2015

Practice Phone: 405-773-6530
Practice Fax:

1336235456 — DR. LESLIE T YONEMOTO M.D.
Practice Location Address:

5901 W MEMORIAL RD
OKLAHOMA CITY, OK
73142-2015

Practice Phone: 405-773-6700
Practice Fax: 405-720-3910

1578774865 — DR. NANCY A CERSONSKY MD
Practice Location Address:

5901 W MEMORIAL RD
OKLAHOMA CITY, OK
73142-2015

Practice Phone: 57-736-7004
Practice Fax: 405-720-3910

Directions to “ MARK R STOREY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.