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

Ryan Charles Johnson, CRNA

Individual provider Registered Nurse · NPI 1104330281

Ryan Charles Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tulsa, Oklahoma. Qualified in 2017, 9 years ago. Practices with Integral Anesthesia LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6839 S Canton Ave
Tulsa, OK 74136-3402
Phone: (918) 494-0612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 100733 (OK)
Registered Nurse Taxonomy 163W00000X · Licence R0100733 (OK)

Record details

NPI number1104330281
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedNovember 27, 2017
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020
Mailing address7509 E 77th Ct, Tulsa, OK 74133-3524

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Integral Anesthesia Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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