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

Mark Patrick Stout, PAC

Individual provider Physician Assistant · NPI 1033456728

Mark Patrick Stout, PAC is a Physician Assistant in Edmond, Oklahoma. Qualified in 2012, 14 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2013
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

18503 N Portland Ave
Edmond, OK 73012-9149
Phone: (405) 531-4273
Fax: (405) 531-4274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2208 (OK)

Record details

NPI number1033456728
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 15, 2013
Last updated in NPPESMarch 30, 2018
Mailing address18503 N Portland Ave, Edmond, OK 73012-9149

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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