Mitchell W Duininck (NPI# 1023088440, PAC ID# 8022115120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023088440 |
| PAC ID by PECOS | 8022115120 |
| Professional Enrollment ID | I20070524000571 |
| Full Name | Mitchell W Duininck |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Address |
1705 E 19th St Tulsa OK 74104-5410 |
| Gender | M |
| Credential | MD |
| Medical School | ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567366495 |
| Number of Group Practice Members | 321 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| 370235 | ST JOHN BROKEN ARROW, INC |
| Address | Phone | Organization |
|---|---|---|
| 1705 E 19th St, Tulsa, OK 74104-5410 | ST JOHN PHYSICIANS INC | |
| 1923 S Utica Ave, Lower Level, Tulsa, OK 74104-6520 | 9187442071 | ST JOHN PHYSICIANS INC |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Physicians | 353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Wilson | Physician Assistant | St John Physicians Inc | 112 N 5th St, Barnsdall, OK 74002-6616 |
| Cara Leanne Thompson | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Megan E Renz | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 3550 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Jodi Oder | Nurse Practitioner | St John Physicians Inc | 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 |
| Tyler Auschwitz | Neurosurgery | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Jennifer M Minadeo | Internal Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| James M Carver | Family Medicine | St John Physicians Inc | 218 W 4th Ave, Caney Office, Caney, KS 67333-1462 |
| Teressa H Lemaster | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Casie Nicole Brim | Nurse Practitioner | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Street Address |
1705 E 19TH ST |
| City | TULSA |
| State | OK |
| Zip | 74104-5410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler Auschwitz | Neurosurgery | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Teressa H Lemaster | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Casie Nicole Brim | Nurse Practitioner | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Peter Madden | Internal Medicine | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Charles C Powell Ii | Family Medicine | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Laura C Kerr | Physician Assistant | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Taylor Claybrook | Nurse Practitioner | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Charles Hayward Hill | Psychiatry | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Robert C Blankenship | Thoracic Surgery | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Christopher D Jenkins | Family Medicine | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Patrick | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Monte Harrel | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Curtis V Wolf Ii | Ophthalmology | 1145 S Utica Ave, Suite 362, Tulsa, OK 74104-4004 | |
| Kay L Worley | Neurology | Neuro Links of Tulsa, L.L.C. | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4005 |
| Gabriela Corsi Vasquez | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Sristi Bhattarai | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Stephan Hambaz | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Zubair Ashraf | Rheumatology | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4010 | |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Find all physicians in zip 74104 | |||
| City | TULSA |
| Zip Code | 74104 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TULSA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mitchell W Duininck.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.