Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Stanley Wasserman, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1225130933

Dr. Mark Stanley Wasserman, MD is an Obstetrics/Gynecology in Sullivan, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1984, 42 years ago. Practices with Scotland Memorial Hospital, Inc, a 257-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
42
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
IL, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

965 Mattox Dr
Sullivan, MO 63080-2365
Phone: (573) 860-6000
Fax: (573) 860-6016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2100 Madison Ave, Granite City, IL 62040-4701 — (618) 451-4872
  • 1103 W Liberty St, Farmington, MO 63640-1921 — (573) 701-7227

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence R2F91 (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 036104995 (IL)

Record details

NPI number1225130933
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing addressPo Box 959318, Saint Louis, MO 63195-9318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Scotland Memorial Hospital, Inc — 257 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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