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Active NPI 1972530053 Individual Practitioner Male Practitioner

Mark Robert Bacon , PA-C

Physician Assistant - Medical • Tinker Afb, OK

Professional Overview & Biography Verified Profile Summary

Mark Bacon, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Tinker Afb, OK. Practice services are available at 72ND MEDICAL GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

72nd Medical Group
5700 Arnold St

Tinker Afb, OK 73145

Telephone 4057364943

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Tinker Afb, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Tinker Afb, OK (527 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License OK 1389

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License AK 602

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 72ND MEDICAL GROUP, 5700 ARNOLD ST, TINKER AFB, OK 73145 (Tel: 4057364943)

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Updated Business Mailing Address July 08, 2007

Registered at 748 MILAN CT, EDMOND, OK 730346897 (Tel: 4053304946)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BACON, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #1389 in OK)

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Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972530053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

748 Milan Ct

Edmond, OK 730346897

Phone: 4053304946

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.