Active NPI
Mark Alan Schroeder, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 61134
- Practice address
- 6901 S Olympia Ave
Tulsa, OK 74132-1843 - Phone
- (918) 388-5701
- NPI assigned
- Jan 8, 2007
- Last updated
- Jan 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 61134 | OK | Primary |
Addresses
Primary practice location
6901 S Olympia Ave
Tulsa, OK 74132-1843
Mailing address
4500 S Garnett Rd Ste 300
Tulsa, OK 74146-5238
Phone (918) 392-2944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100787870A | 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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61134 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Anesthesia, PLC | Current | Accepting new patients | |
| Anesthesia Associates of Oklahoma PLLC | Current | Accepting new patients | |
| Emporia Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists of Bartlesville | Past | Accepting new patients |
Locations
4200 E Skelly Dr
Ste 100
Tulsa, OK 74135
Phone (918) 728-6010
6901 S Olympia Ave
Tulsa, OK 74132
Phone (918) 388-5701
735 N Foreman St
Vinita, OK 74301
Phone (918) 256-7551
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1770891475
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1205841186
-
- Pain Medicine (Anesthesiology) Physician
- Bartlesville, OK
- NPI 1407870066
-
- Certified Registered Nurse Anesthetist
- Emporia, KS
- NPI 1013989748
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1861540858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465238",
"telephone_number": "918-392-2944"
},
{
"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": "918-388-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "61134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100787870A",
"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 Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.