Organization Active NPI

John B White, MD PC

  • Psychiatric Hospital
  • Tulsa, OK
National Provider Identifier
1891988424
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
16315 Issued in OK
Legal business name
JOHN B WHITE, MD PC
Practice address
1620 E 12TH St
Tulsa, OK 74120-5407
Phone
(918) 492-7722
Fax
(918) 357-5859
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Beth Blue
Title
Business Office Manager
Phone
(918) 492-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 16315 OK Primary

Addresses

Primary practice location

1620 E 12TH St
Tulsa, OK 74120-5407

Mailing address

PO Box 140156
Broken Arrow, OK 74014-0002
Phone (918) 492-7722

Other identifiers 1

IdentifierTypeStateIssuer
100200630AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1891988424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140156",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740140002",
            "telephone_number": "918-492-7722",
            "fax_number": "918-357-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 12TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741205407",
            "telephone_number": "918-492-7722",
            "fax_number": "918-357-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B WHITE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "918-492-7722"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "OK",
            "license": "16315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.