Tulsa Spine & Specialty Hospital
Organization Active NPI General Acute Care Hospital · Tulsa, OK
NPI 1033185293 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1033185293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2358 (OK)
- Legal business name
- TULSA SPINE & SPECIALTY HOSPITAL
- Practice address
- 6901 S Olympia Ave
Tulsa, OK 74132-1843 - Phone
- (918) 388-5701
- Fax
- (918) 388-2728
- NPI assigned
- Feb 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Terry L Woodbeck
- Title
- Ceo
- Phone
- (918) 388-5706
Owners & managing parties with NPI records 7
-
Tom A Hamilton, DO
-
Bruce E Hudkins, MD
-
Guy W Sneed, DO
-
Richard D Thomas, MD
-
Shihao Zhang, MD
Corporate family (same tax ID) 2
Facilities with the same owner 61
Practitioners 29
-
Patrick Cody Buchanan, D.O.
-
Richard L Drake, DO
-
Bonita Franklin, DO
-
Tom A Hamilton, DO
-
Daniel Martin Harwell, M.D.
-
Scott Kerwin Hudson, M.D.
-
Kyle Joe Mangels, M.D.
-
Wesley Keith Maples, M.D.
-
Landon Joseph Massoth, M.D.
-
Evan Robert Moore, M.D.
-
Michael B Newnam, MD
-
Justin Scott Reid, M.D.
-
Andreas Frank Revelis, M.D.
-
Jason Robert Sparks, D.O.
-
Robert Shannon Sterling, M.D.
-
Richard D Thomas, MD
-
Frank J Tomecek, MD
-
Atul M Vaidya, MD
-
Traci Lynne White, M.D.
Affiliated clinicians 95
-
Justin Troy Albright, DPM
-
Devin Arie, MD
-
Brian Jay Barki, M.D.
-
Todd C Beasley, DO
-
Jason Paul Biggs, MD
-
Patrick Cody Buchanan, D.O.
-
Jeffrey M Calava, DO
-
Clinton D Cator, PA
-
Kali Cole, MD
-
Shannon Gregory Cox, M.D.
-
Chad E Crawley, D.O.
-
Azad Dadgar-Dehkordi, D.O.
-
Mary Kay Daugherty, PA-C
-
Christopher Delozier, PA-C
-
Richard L Drake, DO
-
William Dudney, M.D.
-
Sarah Renae Elneser, D.O.
-
Jeff Robert Finkenstaedt, D.P.M.
-
Thomas A. Finley, MD.
-
Mitchell Lewis Frank, CRNA
Medicare Care Compare: Hospital
- Listed as
- Tulsa Spine & Specialty Hospital
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Hospital certification: CCN 370216
- Legal name
- TULSA SPINE & SPECIALTY HOSPITAL
- Doing business as
- TULSA SPINE HOSPITAL LLC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 29, 2003
- Last certification
- Jun 20, 2023
- Beds
- 38
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Nov 13, 2000 in OK
- Enrollment address
- 6901 S Olympia Ave
Tulsa, OK 74132-1813 - Hospital subgroups
- General, Short-term
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Bruce E Hudkins |
Corporate Director | Jun 1, 2018 | |
| Ardent Health Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2014 | 51% |
| Stephen M Brownlee |
Corporate Director | Jun 1, 2018 | |
| Tom a Hamilton |
Corporate Director | Jun 1, 2018 | |
| Ahs Oklahoma, LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2014 | 51% |
| Daniel J Boedeker |
Corporate Director |
Jun 1, 2023 | |
| Ahs Hillcrest Healthcare System LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2014 | 51% |
| Mary a Crabtree |
Corporate Officer |
Sep 1, 2021 | |
| Shihao Zhang |
Corporate Director | Jun 1, 2023 | |
| Guy Wayne Sneed |
Corporate Director | Jun 1, 2018 | |
| Trent Gastineau |
Corporate Officer |
Mar 1, 2018 | |
| W-2 Managing Employee |
Mar 1, 2018 | ||
| Ahs Management Company Inc. |
Operational/Managerial Control | Jan 1, 2020 | 100% |
| Stephen C Petrovich |
Corporate Officer |
Jan 1, 2021 | |
| Ahs Tulsa Holdings LLC |
5% Or Greater Direct Ownership Interest | Dec 1, 2014 | 51% |
| Tulsa Spine & Speciality Holding Compnay LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2012 | 49% |
| Richard Doyle Thomas |
Corporate Director | Jun 1, 2018 | |
| Ardent Legacy Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 1, 2014 | 51% |
| Ahp Health Partners, Inc |
5% Or Greater Indirect Ownership Interest | Dec 1, 2014 | 51% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021217000002 | OK | Part a Provider - Hospital | 5092623157 | Practice locations: Tulsa, OK |
National Provider Directory
- Tax ID family
- Tulsa Spine Specialty Hospital
Locations
1825 E 15th St
Ste B
Tulsa, OK 74104
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2358 | OK | Yes |
Addresses
Primary practice location
6901 S Olympia Ave
Tulsa, OK 74132-1843
Mailing address
6901 S Olympia Ave
Tulsa, OK 74132-1843
Phone (918) 388-5701
Other names
- Tulsa Spine Hospital
Other providers in Tulsa, OK
- Tulsa Restorative Dentistry PLLC
- Tulsa Retina Consultants PLLC
- Tulsa Rheumatology Clinic LLC
- Tulsa Saffa LLC
- Tulsa Specialty Hospital LLC
- Tulsa Spine & Specialty Hospital Pharmacy
- Tulsa Spine & Specialty Hospital Pharmacy
- Tulsa Therapy Solutions
- Tulsa Time Dental Design
- Tulsa Varicose Vein Center LLC
All providers in Tulsa, OK · General Acute Care Hospital in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.