MARK BROCKBANK JOHNSON CRNA
NPI 1861681389
Nurse Anesthetist, Certified Registered in Tulsa, OK

Active since October 22, 2007
1120 S UTICA AVE, TULSA, OK 74104(918) 579-1000 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Brockbank Johnson Crna NPPES

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

MARK BROCKBANK JOHNSON CRNA (NPI 1861681389) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (90512) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1861681389
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK BROCKBANK JOHNSONCredential: CRNA
Location Address1120 S UTICA AVETulsa, OK 74104-4012
Mailing AddressPo Box 9188Longview, TX 75608-9188 · (903) 663-3600 · Fax (903) 663-3629
Sole ProprietorYes
Enumeration DateOctober 22, 2007
NPI 1861681389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in OK · 90512
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1120 S UTICA AVE, Tulsa, OK 74104

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Physician Assistant (Medical)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Radiology (Diagnostic Radiology)
1120 S UTICA AVE
TULSA, OK 74104
Pediatrics (Neonatal-Perinatal Medicine)
1120 S UTICA AVE, SUITE 2123
TULSA, OK 74104
General Acute Care Hospital
1120 S UTICA AVE
TULSA, OK 74104
Pediatrics (Neonatal-Perinatal Medicine)
1120 S UTICA AVE, SUITE 2123
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Neonatal)
1120 S UTICA AVE, SUITE 4502
TULSA, OK 74104
Pediatrics (Neonatal-Perinatal Medicine)
1120 S UTICA AVE, SUITE 2123
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Pediatrics (Neonatal-Perinatal Medicine)
1120 S UTICA AVE, SUITE 2123
TULSA, OK 74104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861681389, enumerated as an "individual" on October 22, 2007.

The provider is located at 1120 S UTICA AVE TULSA, OK 74104 and the phone number is (918) 579-1000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.