Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mark Waller, M.D.

Anesthesiology Physician in Tulsa, OK · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265494314

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Registry record

Entity type Individual (Type 1)

Name Mark Waller

Credential M.D.

Sex Male

Practice address 1611 S Utica Ave, Ste 217, Tulsa, OK, 74104

Phone (918) 744-3664

Fax (918) 748-7688

Enumeration date Apr 4, 2006

Last updated in NPPES May 28, 2015

Taxonomy & licenses

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 18067 (OK) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P00370953	Other	OK	RR MEDICARE
100031900A	Medicaid	OK	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Mark Waller?

Mark Waller is registered in NPPES with the primary taxonomy of Anesthesiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-28.