ST JOHN PRIMARY CARE (NPI# 1457720831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457720831 |
| Entity Type | Organization |
| Organization Name | ST JOHN PRIMARY CARE |
| Practice Address |
3400 E Frank Phillips Blvd Suite 600 Bartlesville OK 74006-2495 |
| Practice Telephone | 9183312445 |
| Practice Fax Number | 9183312498 |
| Mailing Telephone | 9183312445 |
| Mailing Fax Number | 9183312498 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | DR. JANA WILKINS (SUPERVISING PHYSICIAN) |
| Authorized Official Telephone | 9183312445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
3400 E FRANK PHILLIPS BLVD SUITE 600 |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003235 | Ben Fowler Baker | Ophthalmology | 3400 E Frank Phillips Blvd, Ste 202, Bartlesville, OK 74006-2407 | 2005-06-15 |
| 1316497050 | Andrea Lane Putthoff | Nurse Practitioner | 3400 E Frank Phillips Blvd, Suite 501, Bartlesville, OK 74006-2495 | 2016-10-05 |
| 1013398478 | Heather Dawn Stapp | Clinical Nurse Specialist | 3400 E Frank Phillips Blvd, #5, Bartlesville, OK 74006-2495 | 2015-06-11 |
| 1821366634 | Patty A Fienen | Nurse Practitioner | 3400 E Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006-2495 | 2011-12-07 |
| 1558645184 | David Ross Rumph Jr | Obstetrics & Gynecology | 3400 E Frank Phillips Blvd, Suite 400, Bartlesville, OK 74006-2495 | 2011-09-30 |
| 1568767119 | Candace Seese Lord | Nurse Practitioner | 3400 E Frank Phillips Blvd, Suite 702, Bartlesville, OK 74006-2495 | 2011-01-12 |
| 1639471881 | Christian Counseling Services of Northeastern Oklahoma | Counselor | 3400 E Frank Phillips Blvd, Suite 402, Bartlesville, OK 74006-2495 | 2010-11-20 |
| 1457582645 | James Barris Musgrave | Counselor | 3400 E Frank Phillips Blvd, Suite 402, Bartlesville, OK 74006-2495 | 2009-08-05 |
| 1942436209 | William Robert Kline | Nurse Practitioner | 3400 E Frank Phillips Blvd, Suite 600, Bartlesville, OK 74006-2495 | 2009-06-01 |
| 1518154590 | Michael R. Collins, Md, PC | Specialist | 3400 E Frank Phillips Blvd, Suite 400, Bartlesville, OK 74006-2495 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417404914 | Bluestem Medical Clinic, Pllc | Clinic/Center | 2704 Warwick Ct, Bartlesville, OK 74006-7344 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
| 1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.