Active NPI
St John Primary Care
- Primary Care Clinic/Center
- Bartlesville, OK
National Provider Identifier
1457720831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2085570 | Amg St John MPC 501 Primary Care | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Vanessa Werlla MD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
- NPI 1245427558
-
- Registered Dietitian
- Tulsa, OK
- NPI 1528564929
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.