Ruth Johnson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-1777 Issued in OK

Practice address

500 Cimarron Dr
Box 323
Mannford, OK 74044-9504

Phone

(918) 865-5000

Fax

(918) 865-5050

NPI assigned

Oct 13, 2006

Last updated

Mar 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home - Tulsa Home health agency, Tulsa, OK, CCN 377073
• Ascension St John Sapulpa Hospital, Sapulpa, OK, CCN 371312
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Omni Medical Group Inc

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1174578249
  Medicare reassignment Care Compare group
• Ronald M. Eimen

  • Family Medicine Physician
  • Mannford, OK
  • NPI 1588756951
  Medicare reassignment
• R. Michael Eimen, D.O.

  • Family Medicine Physician
  • Mannford, OK
  • NPI 1952533648

  Medical

  NPD (past)
• Senior Care of Colorado, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Aurora, CO
  • NPI 1659313062
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St John Sapulpa, Inc.

  • Critical Access Hospital
  • Sapulpa, OK
  • NPI 1922076603
  Care Compare affiliation
• St. John Home Care LLC

  dba Ascension at Home - Tulsa

  • Home Health Agency
  • Tulsa, OK
  • NPI 1225114465
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1699865162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CIMARRON DR",
            "address_2": "BOX 323",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "740449504",
            "telephone_number": "918-865-5000",
            "fax_number": "918-865-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CIMARRON DR",
            "address_2": "BOX 323",
            "city": "MANNFORD",
            "state": "OK",
            "postal_code": "740449504",
            "telephone_number": "918-865-5000",
            "fax_number": "918-865-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RUTH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA-1777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Gerald Glass, D.D.S.
• Timber Kay Hammond, PTA
• Sarah Higgins, P.T.
• Tiffany Ann Isaacs
• Ralph Frederick Jerome, PT
• Christopher Adam Landy
• Legacy Health and Wellness, LLC.
• Angela Mackey
• Jessie G Mackey, CCC-SLP
• Mannford Healthcare (Cimarron Pointe Care Center)

• Medical Physician Assistant in Mannford, OK
• Providers in Mannford, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.
• 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.