Mark D Johnson (NPI# 1508855677, PAC ID# 1456311125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1508855677 |
| PAC ID by PECOS | 1456311125 |
| Professional Enrollment ID | I20041016000234 |
| Full Name | Mark D Johnson |
| Organization Legal Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Address |
608 Nw 9th St Suite 6000 Oklahoma City OK 73102-1041 |
| Phone Number | 4055225764 |
| Gender | M |
| Credential | PA |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4789686163 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370037 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1111 N Dewey Ave, Oklahoma City, OK 73103-2609 | 4052727900 | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| 13401 N Western Ave, Suite 301, Oklahoma City, OK 73114-1411 | 4054787111 | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| 608 Nw 9th St, Suite 6000, Oklahoma City, OK 73102-1041 | 4055225764 | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Organization Legal Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seethal Rao Madhavarapu | Family Medicine | Oklahoma Sports and Orthopedics Institute Pllc | 13401 N Western Ave, Suite 301, Oklahoma City, OK 73114-1411 |
| Robert B Rogers | Physician Assistant | Oklahoma Sports and Orthopedics Institute Pllc | 1111 N Dewey Ave, Oklahoma City, OK 73103-2609 |
| James Lee Bond | Orthopedic Surgery | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Corinne Liann Gil | Physical Therapy | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Brian Edward Clowers | Orthopedic Surgery | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Theodore Boehm | Sports Medicine | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Jordan Elizabeth Hobbs | Physician Assistant | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Kasey Degiusti | Nurse Practitioner | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Kimberly Renee' Robinson | Physical Therapy | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Heather C Kuklinski | Physician Assistant | Oklahoma Sports and Orthopedics Institute Pllc | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 |
| Street Address |
608 NW 9TH ST SUITE 6000 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73102-1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris Regier | Otolaryngology | Saints Medical Group, LLC | 608 Nw 9th St, Oklahoma City, OK 73102-1068 |
| Shawn A Calvin | Anesthesiology | Anesthesia Scheduling Services, P.C. | 608 Nw 9th St, Suite 6210, Oklahoma City, OK 73102-1069 |
| Tehseen Fazili Khan | Neurology | Saints Medical Group, LLC | 608 Nw 9th St, Oklahoma City, OK 73102-1068 |
| Thy K Nguyen | Hematology/oncology | Saints Medical Group, LLC | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 |
| Ahmed Bolkhir | Gastroenterology | Saints Medical Group, LLC | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 |
| Christy A Niehues | Physician Assistant | Saints Medical Group, LLC | 608 Nw 9th St, Oklahoma City, OK 73102-1068 |
| Joseph David Petty | Clinical Social Worker | Saints Medical Group, LLC | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 |
| Tiffani Megan Lowell | Nurse Practitioner | Saints Medical Group, LLC | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 |
| Kevin J Mckeown | Anesthesiology | Anesthesia Scheduling Services, P.C. | 608 Nw 9th St, Suite 6210, Oklahoma City, OK 73102-1069 |
| Salima Ahmad | Nuclear Medicine | Saints Medical Group, LLC | 608 Nw 9th St, Oklahoma City, OK 73102-1068 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Barton Miner, Jr. | Gastroenterology | Philip B Miner Jr Md Inc | 535 Nw9th St, Oklahoma City, OK 73102 |
| Naji E Karam | Cardiovascular Disease (cardiology) | 608 Nw9th St, Suite 6100, Oklahoma City, OK 73102-1006 | |
| Sayeda Asad Nazir | Ophthalmology | 608 Nw 9th St, Suite 6110, Oklahoma City, OK 73102-1006 | |
| Iftikhar Ahmad | Cardiovascular Disease (cardiology) | Ssm Health Care of Oklahoma, Inc. | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1015 |
| Niraj K Prasad | Cardiovascular Disease (cardiology) | Ssm Health Care of Oklahoma, Inc. | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1015 |
| John H Summers | Cardiac Electrophysiology | Ssm Health Care of Oklahoma, Inc. | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1015 |
| Marianne Elizabeth Quinn | Physician Assistant | Ssm Health Care of Oklahoma, Inc. | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1015 |
| Indira Singh | Pediatric Medicine | Ssm Health Care of Oklahoma, Inc. | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1015 |
| Brianna Rachelle Mcmurray | Family Practice | Ssm Health Care of Oklahoma, Inc. | 608 Nw 9th St, Oklahoma City, OK 73102-1015 |
| Andrea Sage Miller | Internal Medicine | Ssm Health Care of Oklahoma, Inc. | 608 Nw 9th St, Oklahoma City, OK 73102-1015 |
| Find all physicians in zip 73102 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OKLAHOMA CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mark D Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.