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

Mark Daniel Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1508855677

Mark Daniel Johnson, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 1984, 42 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
42
Licensed in
OK
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13401 N Western Ave Ste 301
Oklahoma City, OK 73114-1411
Phone: (405) 360-6764
Fax: (405) 360-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 485 (OK)

Record details

NPI number1508855677
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESNovember 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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