ST JOHN URGENT CARE CLINICS INC (NPI# 1003918830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003918830 |
| Entity Type | Organization |
| Organization Name | ST JOHN URGENT CARE CLINICS INC |
| Practice Address |
1923 S Utica Ave Davis Tower 200 Tulsa OK 74104-6520 |
| Practice Telephone | 9187442345 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2015-04-08 |
| Authorized Official Name | MR. WILLIAM WEEKS (VICE PRESIDENT) |
| Authorized Official Telephone | 9187442345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RR MEDICARE | DF5596 | 01 |
| Street Address |
1923 S UTICA AVE DAVIS TOWER 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527667 | Mark Douglas Mills | Pharmacist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2005-06-13 |
| 1043848880 | Saba Imani | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-03-28 |
| 1073146312 | Tammy Irene Joplin | Clinical Nurse Specialist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-02-14 |
| 1962047563 | Houston Reed Slemp | Nurse Practitioner | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-11-07 |
| 1558903369 | Nicole Coburn | Physician Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-10-14 |
| 1124669643 | Jordan Beasley | Physician Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-10-06 |
| 1558926683 | Jacob Blasdel | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-05-03 |
| 1487217634 | Candice R Rogers | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-04-15 |
| 1881158178 | Ellen Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
| 1528522810 | Hannah Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
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| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515471 | Pedistat, Pllc | Clinic/Center | 3354 E 51st St, Tulsa, OK 74135-3512 | 2013-05-20 |
| 1871745802 | Tulsa Pediatric Urgent Care | Clinic/Center | 7717 E 91st St, Tulsa, OK 74133-6053 | 2008-10-22 |
| 1427234004 | American Current Care P.a. | Clinic/Center | 1541 North Sheridan Road, Tulsa, OK 74115 | 2008-01-14 |
| 1467817940 | Rodi LLC | Clinic/Center | 8316 E 61st St, Ste 101 A, Tulsa, OK 74133-1910 | 2015-12-28 |
| 1467836692 | Ahs Oklahoma Physician Group, LLC | Clinic/Center | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2015-07-17 |
| 1780021576 | Statcare Clinics of Green Country LLC | Clinic/Center | 1217 E 48th St, Tulsa, OK 74105-4701 | 2013-06-03 |
| 1194000703 | My Doctor Immediate Care LLC | Clinic/Center | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2011-10-14 |
| 1114103793 | American Current Care Pa | Clinic/Center | 9515 E 51st St, Suite G, Tulsa, OK 75145 | 2008-01-14 |
| 1306952593 | Statcare Clinics of Green Country LLC | Clinic/Center | 9716 Riverside Pkwy, Suite 100, Tulsa, OK 74137-7397 | 2006-08-22 |
| 1063479087 | Tulsa Emergency Medical Center Inc | Clinic/Center | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2006-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.