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Contact Information

CASEY J JOHNSON, CRNA
600 S MONROE ST
ENID, OK73701-7211
 Phone: 580-402-2261
 Fax: 405-758-5582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for CASEY J JOHNSON · (Male)

NPI Number 1518917574
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/11/2006
Last updated 08/15/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 217424
  • OK Medicaid 201246930A
  • Other 14538057 CAQH
Hospital affiliation(s)
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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