ST JOHN HEALTH SYSTEM (NPI# 1508226507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508226507 |
| Entity Type | Organization |
| Organization Name | ST JOHN HEALTH SYSTEM |
| Practice Address |
1717b S Utica Ave Suite 205 Tulsa OK 74104-5333 |
| Practice Telephone | 9187442995 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | MS. KELLEY MICHELLE FROST (DIABETES EDUCATOR) |
| Authorized Official Telephone | 9187442449 |
| Authorized Official Credential | MS RD LD CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255451456 | St John Health System | Surgery | 27483 Dequindre Rd, Suite 306, Madison Heights, MI 48071-3491 | 2007-03-30 |
| 1033270426 | St John Health System | General Acute Care Hospital | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2006-12-12 |
| Street Address |
1717B S UTICA AVE SUITE 205 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427062082 | Joseph P Fritsch | Clinical Neuropsychologist | 1717b S Utica Ave, Suite 200, Tulsa, OK 74104-5333 | 2006-07-28 |
| 1386004380 | Kelley Michelle Frost | Dietitian, Registered | 1717b S Utica Ave, Suite 205, Tulsa, OK 74104-5333 | 2016-03-03 |
| 1356788400 | Beverly Kay Kelley | Dietitian, Registered | 1717b S Utica Ave, Suite 205, Tulsa, OK 74104-5333 | 2013-05-30 |
| 1508203787 | Nora Lee Joice | Dietitian, Registered | 1717b S Utica Ave, Suite 205, Tulsa, OK 74104-5333 | 2013-05-29 |
| 1386081537 | Rovilla Sue Schell | Dietitian, Registered | 1717b S Utica Ave, 205, Tulsa, OK 74104-5333 | 2013-05-29 |
| 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 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
| 1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
| 1912211475 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave Ste 245, Tulsa, OK 74133-5730 | 2010-07-27 |
| 1295059400 | Care Clinic | Clinic/Center | 3528 N Lansing Ave, Tulsa, OK 74106-1939 | 2010-03-16 |
| 1558559468 | Douglas M. Vaughn, D.o., P.C. | Clinic/Center | 4629 S Harvard Ave, Suite A, Tulsa, OK 74135-2948 | 2007-10-05 |
| 1881753358 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 446 W Latimer St, Tulsa, OK 74106-5106 | 2006-12-08 |
| 1114092012 | Osu Center for Health Sciences | Clinic/Center | 9001 S 101 E Ave, Suite 300, Tulsa, OK 74133 | 2006-11-24 |
| 1225102866 | Osu Center for Health Sciences | Clinic/Center | 4500 S Garnett Rd Ste 919, Tulsa, OK 74146-5229 | 2006-11-17 |
| 1982777637 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 500, Tulsa, OK 74127-9060 | 2006-11-17 |
| 1467526046 | Osu Center for Health Sciences | Clinic/Center | 4444 S Harvard Ave Ste 100, Tulsa, OK 74135-2611 | 2006-11-17 |
| Find all providers in TULSA | ||||
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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.