John Conville Fucci, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

19139 Issued in OK

Practice address

591 E 36TH St N
Tulsa, OK 74106-1812

Phone

(918) 619-4400

Fax

(918) 619-8776

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1780654145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268838",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268838",
            "telephone_number": "918-660-3632",
            "fax_number": "918-660-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061812",
            "telephone_number": "918-619-4400",
            "fax_number": "918-619-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUCCI",
        "first_name": "JOHN",
        "middle_name": "CONVILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "19139",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "19139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003710B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Rian Frye
• Lance Taylor Frye, M.D.
• Jay Fu, MD
• Kevin Fu, MD
• Yinan Fu, M.D.
• Mei-Chien Huang Fucci, M.D.
• Angela Joann Fuentes, CRNA
• Kianna Fuentes
• Joseph M Fugaro, MD
• Colony S Fugate, DO

• Gastroenterology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Gastroenterology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.