{"npi":"1861540858","type":"NPI-1","status":"active","name":{"display":"Mark Schroeder CRNA","other":[],"first":"MARK","last":"SCHROEDER","middle":"ALAN","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"OK","license":"61134"}]},"addresses":[{"purpose":"LOCATION","street_1":"6901 S OLYMPIA AVE","city":"TULSA","state":"OK","postal_code":"741321843","country_code":"US","phone":"9183885701"},{"purpose":"MAILING","street_1":"4500 S GARNETT RD STE 300","city":"TULSA","state":"OK","postal_code":"741465238","country_code":"US","phone":"9183922944"}],"license":{"state":"OK","number":"61134"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100787870A","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050411000826","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OK","pac_id":"6305883422"}]},"enumeration_date":"2007-01-08","last_updated":"2014-01-30","_meta":{"source":"NPPES","snapshot_date":"2014-01-30","doc_url":"https://findmynpi.com/api"}}