Doctor profile · Federal record
Dr. Mark Wasserman, MD
Obstetrics & Gynecology Physician · Obstetrics & Gynecology Physician · Sullivan, MO
- NPI 1225130933
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
965 Mattox Dr
Sullivan, MO 630802365
(573) 860-6000
fax (573) 860-6016 - Additional location
-
2100 Madison Ave
Granite City, IL 620404701
(618) 451-4872
fax (618) 451-6203 - Additional location
-
1103 W Liberty St
Farmington, MO 636401921
(573) 701-7227 - Mailing address
-
Po Box 959318
Saint Louis, MO 631959318
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- September 17, 2025
- Specialty taxonomy
- 207V00000X — NUCC code
- State licenses (2)
- Missouri #R2F91 · Illinois #036104995
- Medicaid
- IL #036104995
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225130933. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$34
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 1 | $18.05 | |
| Sumitomo Pharma America, INC. | 1 | $16.18 |
By nature of payment
Frequently asked questions
What is Dr. Mark Wasserman's medical specialty?
Dr. Mark Wasserman practices Obstetrics & Gynecology Physician in Sullivan, MO.
Where does Dr. Mark Wasserman practice?
Dr. Mark Wasserman practices at 965 Mattox Dr, Sullivan, MO 630802365. Office phone: 5738606000.
What is Dr. Mark Wasserman's NPI?
Dr. Mark Wasserman's National Provider Identifier (NPI) is 1225130933, issued by NPPES.