St John Medical Center Inc
Organization Active NPI Rehabilitation Hospital Unit · Tulsa, OK
NPI 1578656161 · NPPES record last updated Nov 10, 2010
Key facts
- NPI
- 1578656161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 2265 (OK)
- Legal business name
- ST JOHN MEDICAL CENTER INC
- Practice address
- 1923 S Utica Ave
Tulsa, OK 74104-6520 - Phone
- (918) 744-2345
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Sr. M. Therese Gottschalk
- Title
- President/Chief Executive Officer
- Phone
- (918) 744-2180
Other NPIs on the same Medicare enrollment 1
Affiliated clinicians 927
-
Melissa Abbott, DNP, APRN, FNP-C
-
Christopher G Abdo, D.O.
-
John Abraham, MD
-
Isaac F. Adams, MD
-
Jamie L Adams, CRNA
-
Joel A Adkisson, D.O.
-
Pallavi Agarwal, M.D.
-
Vishal Aggarwal, MD
-
Zubair Ahmad, M.D.
-
Yasir Ahmed, M.D.
-
Divya Akula, D.O
-
Heather Renee Alberty, DNP, APRN
-
Justin Troy Albright, DPM
-
Morgan L Aldridge, M.D.
-
Angel Marie Allen, APRN
-
Ryan Elizabeth Allen, PA-C
-
Aaron R Alvarado, MD
Medicare Care Compare: Hospital
- Listed as
- Ascension St John Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Hospital certification: CCN 370114
- Legal name
- ST JOHN MEDICAL CENTER INC
- Doing business as
- ASCENSION ST. JOHN MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 29, 2024
- Beds
- 703 (675 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 10, 1953 in OK
- Enrollment address
- 1923 S Utica Ave
St John Medical Center
Tulsa, OK 74104-6502 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| St John Health Systems Inc |
5% Or Greater Direct Ownership Interest | Sep 8, 1982 | 100% |
| Stephen Heyman |
Corporate Director |
Jan 1, 2024 | 5% |
| Charles Terrence Dolan |
Operational/Managerial Control |
Sep 1, 2015 | 5% |
| Joseph P Moran |
Operational/Managerial Control |
Sep 1, 2015 | 5% |
| Robert Farris |
Corporate Director |
Jan 1, 2024 | 5% |
| Jason Hall |
Corporate Officer |
Jul 1, 2025 | 5% |
| Stephen D Bruns |
Corporate Director |
Jan 1, 2024 | 5% |
| Loretta Hall |
Corporate Director |
Jan 1, 2024 | 5% |
| Bryan Joseph Cavitt |
Corporate Officer |
Jul 1, 2025 | 5% |
| Theodore Siegfried |
Operational/Managerial Control |
Jul 1, 2017 | 5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090723000826 | OK | Part a Provider - Hospital | 7810887510 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Broken Arrow, OK; Tulsa, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 2265 | OK | Yes |
Addresses
Primary practice location
1923 S Utica Ave
Tulsa, OK 74104-6520
Mailing address
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000370114001 | Other | OK | BCBS OF OK |
| 74104 0000 | Other | OK | CHAMPUS |
| 100699400A | Medicaid | OK |
Other names
- Bernsen Rehab
Other providers in Tulsa, OK
- St John Cardiovasuclar Services Inc
- St John Health System
- St John Medical Center Air Ambulance
- St John Medical Center Inc
- St John Medical Center Inc
- St John Urgent Care Clinics Inc
- Kelsey St John
- St Pius X Church
- St Simeons Episcopal Home Inc
- Nicia St. Clair-Charles
All providers in Tulsa, OK · Rehabilitation Hospital Unit in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.