Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013937713 Individual Practitioner Male Practitioner

Dr. Clarence Michael Johnson , DO

Urology • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Dr. Clarence Johnson, DO is a registered healthcare professional specializing in Urology in Tulsa, OK. Practice services are available at 802 S JACKSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

802 S Jackson Ave
Suite 110

Tulsa, OK 741279015

Telephone 9185994477
Fax 9185994479
Associated Practice Facility / Clinic
🏢 Cardiology Of Oklahoma Inc Facility NPI 1649238361

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 31.6 Yrs
Regional Practice Density
46 Specialists

Practicing in Tulsa, OK (179 Statewide)

Telehealth Adoption Rate
17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OK 1716

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100088070A (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Michael Carney , DO

Internal Medicine - Interventional Cardiology

NPI 1043272982

Doctor of Osteopathic Medicine (D.O.)

Dr. Larry Dullye , DO

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1235208042

Doctor of Osteopathic Medicine (D.O.)

Dr. Anthony Alfrey , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1245334887

Doctor of Medicine (M.D.)

Dr. Daniel Nader , DO

Internal Medicine - Pulmonary Disease

NPI 1972564169

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2012

Registered at 802 S JACKSON AVE, SUITE 110, TULSA, OK 741279015 (Tel: 9185994477)

📍
Updated Business Mailing Address July 13, 2012

Registered at PO BOX 368, CLAREMORE, OK 740180368 (Tel: 9183436100)

👤
Provider Name / Credentials Updated July 13, 2012

Recorded as CLARENCE JOHNSON, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2012

Urology (License #1716 in OK)

🟢
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013937713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 13, 2012
Sole Proprietor: No

Mailing Address

Po Box 368

Claremore, OK 740180368

Phone: 9183436100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.