Michael Cory Daubney, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tulsa, OK
NPI 1902596786 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1902596786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 215660 (OK)
- Practice address
- 6161 S Yale Ave
Tulsa, OK 74136-1902 - Phone
- (918) 494-0612
- NPI assigned
- May 15, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osh Aai PLLC
Associated Anesthesiologists, Inc.
Practice addresses (Care Compare)
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Oklahoma Surgical Hospital, LLC
- Saint Francis Hospital South, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231106002638 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608223151 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0130182 | OK | MD | Registered Nurse |
| 215660 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Oklahoma, PLLC | Current |
Accepting new patients | |
| Associated Anesthesiologists, Inc. | Current |
Accepting new patients | |
| Osh Aai PLLC | Current |
Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
2408 E 81st St
Ste 900
Tulsa, OK 74137
Phone (918) 477-5000
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6839 S Canton Ave
Tulsa, OK 74136
Phone (918) 494-0612
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 215660 | OK | Yes |
| Registered Nurse | 163W00000X | R0130182 | OK |
Addresses
Primary practice location
6161 S Yale Ave
Tulsa, OK 74136-1902
Mailing address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612
Other practice location 1
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131
Other providers in Tulsa, OK
- Violet Darrow
- Denise M Dart
- Anisha Das
- Lacy Dattala
- Robert Anthony Dattala
- Candice Louise Daugherty
- Connor Michael Daugherty
- Dana Helen Daugherty
- Grant Daugherty
- Mary Kay Daugherty
All providers in Tulsa, OK · Certified Registered Nurse Anesthetist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.