Organization Active NPI

St John Primary Care

  • Primary Care Clinic/Center
  • Bartlesville, OK
National Provider Identifier
1457720831
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ST JOHN PRIMARY CARE
Practice address
3400 E Frank Phillips Blvd
Suite 600
Bartlesville, OK 74006-2495
Phone
(918) 331-2445
Fax
(918) 331-2498
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Dr. Jana Wilkins
Title
Supervising Physician
Phone
(918) 331-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd
Suite 600
Bartlesville, OK 74006-2495

Mailing address

3400 E Frank Phillips Blvd
Suite 600
Bartlesville, OK 74006-2495
Phone (918) 331-2445

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2085570Amg St John MPC 501 Primary Care3400 Frank Phillips Blvd Suite 501, Bartlesville, OK 74006Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Vanessa Werlla MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3400 E Frank Phillips Blvd
Ste 600
Bartlesville, OK 74006
Phone (918) 331-2445

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1457720831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 600",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2445",
            "fax_number": "918-331-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 600",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2445",
            "fax_number": "918-331-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "918-331-2445",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.