Individual provider Active NPI

Christopher Sudduth, M.D., M.P.H

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1366709818
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29230 Issued in OK
Practice address
3345 S Harvard Ave
Building 200, Suite 201
Tulsa, OK 74135
Phone
(918) 262-4502
Fax
(918) 238-6630
NPI assigned
Apr 20, 2012
Last updated
Jul 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29230 OK Primary
Pediatrics Physician 208000000X 29230 OK
Hospitalist Physician 208M00000X 29230 OK

Addresses

Primary practice location

3345 S Harvard Ave
Building 200, Suite 201
Tulsa, OK 74135

Mailing address

3345 S Harvard Ave
Building 200, Suite 201
Tulsa, OK 74135
Phone (918) 262-4502

Other practice location 1

3315 S Elm Pl
Broken Arrow, OK 74012-7924
Phone (918) 509-3990

Other practice location 2

8551 N 125th East Ave Ste 175
Owasso, OK 74055-2297
Phone (918) 265-3797

Other practice location 3

5014 E 101st St Ste 100
Tulsa, OK 74137-5835
Phone (918) 884-7699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 5, 2020 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29230OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Health Direct Primary Care Past Accepting new patients
Remedy Health Direct Primary Care PastSince Jun 21, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.sudduth@direct.stjohnhealthsystem.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1366709818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE",
            "address_2": "BUILDING 200, SUITE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-262-4502",
            "fax_number": "918-238-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE",
            "address_2": "BUILDING 200, SUITE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-262-4502",
            "fax_number": "918-238-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 S Elm Pl",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127924",
            "country_code": "US",
            "telephone_number": "918-509-3990",
            "fax_number": "918-238-6614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8551 N 125th East Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740552297",
            "country_code": "US",
            "telephone_number": "918-265-3797",
            "fax_number": "918-395-9031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5014 E 101st St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741375835",
            "country_code": "US",
            "telephone_number": "918-884-7699",
            "fax_number": "918-221-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDDUTH",
        "first_name": "CHRISTOPHER",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "29230",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "29230",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "29230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.