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

Individual provider Anesthesiology Physician · NPI 1265494314

Mark Waller, MD is an Anesthesiology in Tulsa, Oklahoma. Graduated from University of Oklahoma College of Medicine in 1991, 35 years ago. Practices with Olympia Anesthesia PLC, a 13-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
35
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 S Utica Ave Ste 217
Tulsa, OK 74104-4909
Phone: (918) 744-3664
Fax: (918) 748-7688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 18067 (OK)

Record details

NPI number1265494314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2006
Last updated in NPPESMay 28, 2015
Mailing address1611 S Utica Ave, Ste 217, Tulsa, OK 74104-4909

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Olympia Anesthesia Plc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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