MARK DANIEL JOHNSON (NPI# 1508855677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508855677 |
| Entity Type | Individual |
| Full Name | MARK DANIEL JOHNSON |
| Credential | PA-C |
| Practice Address |
13401 N Western Ave Ste 301 Oklahoma City OK 73114-1411 |
| Mailing Address |
3400 W Tecumseh Rd Ste 101 Norman OK 73072-1810 |
| Practice Telephone | 4053606764 |
| Practice Fax Number | 4053606769 |
| Mailing Telephone | 4053606764 |
| Mailing Fax Number | 4053606769 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
485 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1437692787 | Mark Johnson | Pharmacist | 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 | 2016-11-18 |
| 1902277734 | Mark Johnson Sr. | Counselor | 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 | 2015-10-20 |
| 1295175966 | Mark Johnson | Pharmacist | 418 Opal Ln, Hibbing, MN 55746-3844 | 2013-06-26 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1598009938 | Mark R Johnson | Pharmacist | 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 | 2012-11-26 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| 1881953578 | Mark Joseph Johnson | Anesthesiology | 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 | 2012-05-15 |
| 1811261662 | Mark Johnson | Physical Therapist | 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 | 2012-02-25 |
| 1639470636 | Mark Johnson | Counselor | 4314 W Lovers Ln, Dallas, TX 75209-2804 | 2010-11-06 |
| Street Address |
13401 N WESTERN AVE STE 301 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290771 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 13401 N Western Ave Ste 301, Oklahoma City, OK 73114-1411 | 2019-11-21 |
| 1841274099 | Stacy S. Brown | Physician Assistant | 13401 N Western Ave Ste 301, Oklahoma City, OK 73114-1411 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1710282660 | Amir Raza | Physician Assistant | 925 Ne 13th Street, Cho 2mr2000d, Oklahoma City, OK 73104-5068 | 2011-01-24 |
| 1104131721 | Central Pa | Physician Assistant | 10701 Pond Meadow Dr, Oklahoma City, OK 73151-9149 | 2010-08-09 |
| 1306840327 | Kendall Leigh Phillips | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-06-08 |
| 1649642919 | Eric Ramos | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2015-10-27 |
| 1649664392 | Kayla Michelle Hale | Physician Assistant | 13904 Quailbrook Dr, Oklahoma City, OK 73134-1718 | 2015-03-20 |
| 1972992485 | Nathan James Charlton | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2015-01-21 |
| 1902294812 | Lauren Zahra Hink | Physician Assistant | 1000 N Lincoln Blvd, Oklahoma City, OK 73104-3252 | 2014-12-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.