Active NPI
Tulsa Spine & Specialty Hospital
- General Acute Care Hospital
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 2358
- 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
- Last updated
- Oct 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terry L Woodbeck
- Title
- Ceo
- Phone
- (918) 388-5706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2358 | OK | Primary |
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 1
- Tulsa Spine Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021217000002 | OK | Part A Provider - Hospital | 5092623157 | Practice locations: Tulsa, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1033185293. Details of each certification follow.
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
- Incorporated
- Nov 13, 2000 in OK
- Enrollment address
- 6901 S Olympia Ave
Tulsa, OK 74132-1813 - Hospital subgroups
- General, Short-term
Care Compare: Hospital
Medicare Care Compare- Listed as
- Tulsa Spine & Specialty Hospital
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Tulsa Spine Specialty Hospital
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Institutional Pharmacy
- Tulsa, OK
- NPI 1235346479
-
- Special Hospital
- Tulsa, OK
- NPI 1326255563
Locations
6802 S Olympia Ave
Ste 200
Tulsa, OK 74132
Phone (918) 388-9090
Networks
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| 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% |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Neurological Surgery Physician
- Tulsa, OK
- NPI 1225086945
Corporate Director
-
- Orthopaedic Surgery of the Spine Physician
- Tulsa, OK
- NPI 1366410441
Corporate Director
Facilities with the same owner 61
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rural Health Clinic/Center
- Claremore, OK
- NPI 1356974687
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rural Health Clinic/Center
- Claremore, OK
- NPI 1316579642
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Hospital Cushing
- Medicare Defined Swing Bed Hospital Unit
- Cushing, OK
- NPI 1467523894
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Cushing Regional Hospital
- General Acute Care Hospital
- Cushing, OK
- NPI 1801867643
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Utica Park Clinic Primary Care
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1295232478
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Medicare Defined Swing Bed Hospital Unit
- Henryetta, OK
- NPI 1588733828
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Hospital Henryetta
- General Acute Care Hospital
- Henryetta, OK
- NPI 1720053556
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Utica Park Clinic Family Care
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1871008722
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Medical Center
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1679652192
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
Practitioners & affiliated clinicians
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Tulsa, OK
- NPI 1225086945
-
- Facial Plastic Surgery Physician
- Tulsa, OK
- NPI 1578865416
-
- Specialist
- Tulsa, OK
- NPI 1235190943
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1336326206
-
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
- NPI 1427477140
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1912990201
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1972593622
-
- Neurological Surgery Physician
- Tulsa, OK
- NPI 1679890701
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1154310555
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1639313265
-
- Specialist
- Tulsa, OK
- NPI 1174585640
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1013974757
Affiliated clinicians 95
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1033185293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 S OLYMPIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741321843",
"telephone_number": "918-388-5701",
"fax_number": "918-388-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 S OLYMPIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741321843",
"telephone_number": "918-388-5701",
"fax_number": "918-388-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULSA SPINE & SPECIALTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-27",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "WOODBECK",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-388-5706",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "OK",
"license": "2358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tulsa Spine Hospital",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Tulsa, OK
- Tulsa Restorative Dentistry PLLC
- Tulsa Retina Consultants PLLC
- Tulsa Rheumatology Clinic LLC
- Tulsa Saffa LLC (Saffa Compounding Pharmacy)
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.