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

Mr. Blake Wesley Johnson, PA-C

Individual provider Physician Assistant · NPI 1497151922

Mr. Blake Wesley Johnson, PA-C is a Physician Assistant in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2014
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

2000 S Wheeling Ave Ste 900
Tulsa, OK 74104-5647
Phone: (918) 403-6284
Fax: (918) 403-6323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OK)

Record details

NPI number1497151922
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 11, 2014
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020

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