Active NPI
Mark Curtis Wilcher, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
National Provider Identifier
1508872524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0034359
- Practice address
- 6901 S Olympia Ave
Tulsa, OK 74132-1843 - Phone
- (918) 664-9892
- Fax
- (918) 664-2521
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0034359 | OK | Primary |
Addresses
Primary practice location
6901 S Olympia Ave
Tulsa, OK 74132-1843
Mailing address
PO Box 22063
Dept 7175
Tulsa, OK 74121-2063
Phone (918) 664-9892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100782720C | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Okmulgee Memorial Hospital, Inc | Past | Accepting new patients | |
| Omh Home Health | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1083616221
-
- Home Health Agency
- Okmulgee, OK
- NPI 1831191543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1508872524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22063",
"address_2": "DEPT 7175",
"city": "TULSA",
"state": "OK",
"postal_code": "741212063",
"telephone_number": "918-664-9892",
"fax_number": "918-664-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 S OLYMPIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741321843",
"telephone_number": "918-664-9892",
"fax_number": "918-664-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCHER",
"first_name": "MARK",
"middle_name": "CURTIS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0034359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100782720C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.