Individual provider Active NPI

Sarah Janssen, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1821418773
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5755 Issued in OK
Practice address
940 E 36TH St N
Tulsa, OK 74106-1953
Phone
(918) 398-9460
Fax
(918) 992-2822
NPI assigned
Apr 18, 2014
Last updated
Nov 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5755 OK Primary

Addresses

Primary practice location

940 E 36TH St N
Tulsa, OK 74106-1953

Mailing address

7333 E 121St St S
Ste 200
Bixby, OK 74008-2654
Phone (918) 403-7140

Other practice location 1

1441 E 75th Pl
Tulsa, OK 74136-7345
Phone (918) 710-4200

Other identifiers 1

IdentifierTypeStateIssuer
200606420AMedicaidOK

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119000929 OK Practitioner - Family Practice 9931409125 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St John Urgent Care Clinics Inc CurrentSince Nov 1, 2019 Accepting new patients
St. John Physicians, Inc CurrentSince Aug 5, 2015 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Aug 5, 2015 Accepting new patients
Crossover Health Services Inc CurrentSince Sep 1, 2017 Accepting new patients
Crossover Health Services Inc CurrentSince Sep 1, 2017 Accepting new patients

Locations

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1821418773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 E 121ST ST S",
            "address_2": "STE 200",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082654",
            "telephone_number": "918-403-7140",
            "fax_number": "918-856-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741061953",
            "telephone_number": "918-398-9460",
            "fax_number": "918-992-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 E 75th Pl",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367345",
            "country_code": "US",
            "telephone_number": "918-710-4200",
            "fax_number": "918-293-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "SARAH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200606420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.