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

Stephanie R Johnson

Individual provider Physician Assistant · NPI 1669974754

Stephanie R Johnson is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2017, 9 years ago. Practices with Ahs Oklahoma Heart LLC, a 132-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
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Practice location Address checks out

9306 S Toledo Ct
Tulsa, OK 74137-2757
Phone: (918) 494-0400
Fax: (918) 876-3437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1669974754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2018
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address9228 S Mingo Rd Ste 200, Tulsa, OK 74133-5722

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ahs Oklahoma Heart Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Tulsa