Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Erick Johnson, PA

Individual provider Medical Physician Assistant · NPI 1043278005

Kyle Erick Johnson, PA is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2002, 24 years ago. Practices with Medical Resource Management LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
24
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2929 S Garnett Rd C/o Medcenter
Tulsa, OK 74129-5101
Phone: (918) 665-1520
Fax: (405) 749-4561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1250 (OK)

Record details

NPI number1043278005
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 22063, Dept 0289, Tulsa, OK 74121-2063

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Medical Resource Management Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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