Blake Wilson, CRNA

NPI 1568712768 · on the registry since 2012 · sole proprietor

Practice

Address: 2001 Cradduck Rd
Ada, OK 74820
Phone: (405) 514-4786
Fax: (405) 758-5582
Organisation at this address: Sc Anesthesia Llc
Apex Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Additional practice sites

6580 Judson Rd, Longview, TX

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma