Active NPI
John S McGlothlen, CRNA
- Specialist
- Altus, OK
National Provider Identifier
1790777563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R0031880
- Practice address
- 1200 E Pecan St
Altus, OK 73521-6141 - Phone
- (580) 477-7243
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R0031880 | OK | Primary |
Addresses
Primary practice location
1200 E Pecan St
Altus, OK 73521-6141
Mailing address
937 N Cowboy Canyon Dr
Green Valley, AZ 85614-5546
Phone (520) 398-7481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Roswell Clinic Corp | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Santa Cruz Anesthesia Associates | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
-
- Certified Registered Nurse Anesthetist
- Nogales, AZ
- NPI 1316040769
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790777563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 N COWBOY CANYON DR",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145546",
"telephone_number": "520-398-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E PECAN ST",
"city": "ALTUS",
"state": "OK",
"postal_code": "735216141",
"telephone_number": "580-477-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLOTHLEN",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "R0031880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altus, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.