DR. JOHN TIMOTHY KRUEGER


Address: 1111 S Saint Louis Ave, Tulsa, OK 74120-5440
Phone: 9186194400

DR. JOHN TIMOTHY KRUEGER (NPI# 1285600262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285600262
Entity Type Individual
Full Name DR. JOHN TIMOTHY KRUEGER
Credential M.D.
Practice Address 1111 S Saint Louis Ave
Tulsa
OK 74120-5440
Mailing Address Po Box 268838
Oklahoma City
OK 73126-8838
Practice Telephone 9186194400
Practice Fax Number 9186194601
Mailing Telephone 9186194400
Mailing Fax Number 9186194601
Enumeration Date 2006-02-28
Last Update Date 2016-08-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 25027 OK Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine E4605 AR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR RAILROAD MEDICARE P00260757 01
AR 158169001 05
AR QUALCHOICE 05110013100 01
OK 200102360B 05
AR BLUE CROSS/BLUE SHIELD 5N390 01
AR CIGNA 8436548 01
IA 1285600262 05

Other Providers JOHN KRUEGER

NPI Name Taxonomy Address Enumeration
1861673030 John R Krueger Psychologist 157 Roosevelt Rd Ste 300, Saint Cloud, MN 56301-5481 2007-11-16
1699798991 John P Krueger Dentist 1651 Rainbow Dr, Clearwater, FL 33755-6438 2006-07-26
1043245780 John P Krueger Chiropractor 6030-m S Lewis Ave, Tulsa, OK 74136 2006-07-11
1134165913 John Ralph Krueger Family Medicine 2555 N King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 2006-06-21
1972685121 John Krueger Social Worker 201 Centre Plaza Dr, Monterey Park, CA 91754-2142 2006-10-19
1679687792 John B Krueger Specialist 3501 Johnson St, 3rd Floor, Hollywood, FL 33021-5421 2006-08-18
1972588929 John Krueger Family Medicine 73d Winthrop Ave, Lawrence, MA 01843-3716 2005-12-13

Office Location

Street Address 1111 S SAINT LOUIS AVE
City TULSA
State OK
Zip Code 74120-5440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316937220 John W Tipton Family Medicine 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2005-10-24
1285255349 Helga Skaftason Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2020-04-29
1609496561 Melissa Gerald Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2020-04-21
1487273546 Palak L Krushiker Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2020-04-09
1588293344 Jocelyn Anne Gray Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2020-04-03
1508494766 John Michael Duke Jr. Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2020-03-31
1285262048 Livia Yumi Maruoka Nishi Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2020-03-29
1225689177 Samuel Peter Nitka Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2019-09-23
1457918062 Madison Beckman Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2019-05-20
1346804812 Jordyn Elizabeth Temple Student in an Organized Health Care Education/Training Program 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 2019-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144704321 Quintella Delana Miller Case Manager/Care Coordinator 1043 E Easton St, Tulsa, OK 74120 2018-09-24
1689152092 Charles Granger Jr. Case Manager/Care Coordinator 103 N Greenwood, Suite 320, Tulsa, OK 74120 2018-07-30
1174015598 Debra Anne Beasley Counselor 1619 E. 13th St., Tulsa, OK 74120 2018-06-01
1649775701 Cara Marie Cantu Licensed Practical Nurse 620 South Peoria, Tulsa, OK 74120 2018-03-29
1639558745 Wei Te Li Student in an Organized Health Care Education/Training Program 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 2015-05-21
1225434350 Marcos Rivero Community/Behavioral Health 130 N. Greenwood, Suite 302, Tulsa, OK 74120 2014-11-18
1861742348 Tamiika Jones Social Worker 1533 E 13th St, Apt B, Tulsa, OK 74120 2012-09-12
1730408097 Teresa Lee Henshaw Physical Therapist 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 2010-05-26
1194970384 Kym Lynnette Lindsay Speech-Language Pathologist 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 2008-12-01
1184872004 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 2008-09-04
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992347355 Next Level Primary Care, Pllc Family Medicine 8905 E 34th St, Tulsa, OK 74145-3403 2019-10-16
1740751445 Ernest Kaara Maina Family Medicine 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 2018-12-07
1801373659 Hygiea Healthcare Solutions, Inc. Family Medicine 7220 E 41st St, Tulsa, OK 74145-4504 2018-07-24
1760970875 Antidote Medical Partners LLC Family Medicine 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 2018-04-24
1417464199 Tulsa Medical and Orthopedic Center PC Family Medicine 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 2018-01-04
1013421023 Susan C. Willard, Do, Pllc Family Medicine 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 2017-11-29
1992224349 Elite Family Medicine LLC Family Medicine 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 2017-09-18
1881114874 Care Driven Senior Care, Pllc Family Medicine 5821 E 46th St, Tulsa, OK 74135-6830 2017-06-21
1346779816 Herman Gonzalez Family Medicine 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 2017-06-08
1003343831 Robert Capehart Family Medicine 1110 E 18th St, Tulsa, OK 74120-7409 2017-05-11
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Competitor

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City TULSA
Zip Code 74120

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Dataset Information

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.

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