Active NPI
Christopher Sudduth, M.D., M.P.H
- Internal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29230
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 29230 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Health Direct Primary Care | Past | Accepting new patients | |
| Remedy Health Direct Primary Care | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1609515055
-
- Clinic/Center
- Owasso, OK
- NPI 1780314625
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.