Organization Active NPI

St John Cardiovasuclar Services Inc

  • Cardiovascular Disease Physician
  • Tulsa, OK
National Provider Identifier
1952343451
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ST JOHN CARDIOVASUCLAR SERVICES INC
Practice address
1923 S Utica Ave
Davis Tower 200
Tulsa, OK 74104-6520
Phone
(918) 747-5040
Fax
(918) 293-3184
NPI assigned
Jun 11, 2006
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Mr. Lex Anderson
Title
Vice President
Phone
(918) 744-3673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1923 S Utica Ave
Davis Tower 200
Tulsa, OK 74104-6520

Mailing address

1923 S Utica Ave
Davis Tower 200
Tulsa, OK 74104-6520
Phone (918) 747-5040

National Provider Directory

National Provider Directory

Locations

2000 S Wheeling Ave
Ste 100
Tulsa, OK 74104
Phone (918) 403-7070

Dept 2274
Tulsa, OK 74182

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1952343451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "address_2": "DAVIS TOWER 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-747-5040",
            "fax_number": "918-293-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "address_2": "DAVIS TOWER 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-747-5040",
            "fax_number": "918-293-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN CARDIOVASUCLAR SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LEX",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "918-744-3673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2008; 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.