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MARK WAYNE PERDUE P.A.
NPI 1376501189
Physician Assistant - Medical in Tulsa, OK

Active since May 02, 2006
1717 S UTICA AVE STE A, TULSA, OK 74104(918) 748-7557(918) 748-7514 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Wayne Perdue P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK WAYNE PERDUE P.A. (NPI 1376501189) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (1317) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1376501189
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK WAYNE PERDUECredential: P.A.
Location Address1717 S UTICA AVE STE ATulsa, OK 74104-5346
Mailing Address1515 N Harvard Ave, Ste ETulsa, OK 74115-4957 · (918) 832-6049 · Fax (918) 832-6055
Phone(918) 748-7557
Fax(918) 748-7514
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateApril 13, 2010
✔ NPI 1376501189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 1317
1717 S UTICA AVE STE A, Tulsa, OK 74104
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Other Identifiers 2

Medicare PINOK402446OK
Medicare UPINQ30474OK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CORY BRIT KEBERT M.D.
Emergency Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (981) 748-7557
WILLIAM CRAIG SANFORD MD
Emergency Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
SHON D. KENDALL D.O.
Emergency Medicine (Emergency Medical Services)
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
CHANCE DODSON MD
Emergency Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 358-6064
MISTY DAWN ANDERSON NP
Nurse Practitioner (Family)
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
THOMAS FRASIER ENGLE PA-C
Physician Assistant (Medical)
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557
DR. SHAUN S. JUNG-PETERS D.O.
Family Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-1300
ZACHARY ALAN FOWLER D.O.
Family Medicine
1717 S UTICA AVE STE A
TULSA, OK 74104
Tulsa County (918) 748-7557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Perdue's NPI number?

The NPI number for Mark Perdue is 1376501189. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Mark Perdue located?

Mark Perdue practices at 1717 S Utica Ave Ste A, Tulsa, OK 74104. The listed phone number is (918) 748-7557.

What is Mark Perdue's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mark Perdue was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.