St. John Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2265 Issued in OK

Legal business name

ST. JOHN MEDICAL CENTER

Practice address

1923 S Utica Ave
Tulsa, OK 74104

Phone

(918) 744-2345

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sr. M. Therese Gottschalk

Title

President/Chief Executive Officer

Phone

(918) 744-2180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SJMC RCU Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154416188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-744-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-744-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOTTSCHALK",
        "authorized_official_first_name": "SR. M. THERESE",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-744-2180"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "2265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OK",
            "identifier": "000375069001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJMC RCU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St. John Dialysis, LLC
• St. John Dialysis, LLC
• St. John Emergency Services, Inc.
• St. John Home Care LLC (Ascension at Home - Tulsa)
• St. John Home Care LLC
• St. John Medical Center
• St. John Medical Center- Skilled Nursing Unit
• St. John Physicians, Inc. (SJP Hand Surgery - Michael Clendenin, MD)
• St. John Physicians, Inc.
• St. John Physicians, Inc. (SJC Outpatient Diabetes Center)

• Skilled Nursing Facility in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.