ST JOHN CARDIOVASCULAR MEDICINE INC
NPI 1790717270
Internal Medicine - Cardiovascular Disease in Tulsa, OK

NPI Status: Active since July 07, 2006

Contact Information

1923 E 21ST ST
SUITE 200
TULSA, OK
ZIP 74114
Phone: (918) 744-6966
Fax: (918) 744-9642

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About ST JOHN CARDIOVASCULAR MEDICINE INC

This page provides the complete NPI Profile along with additional information for St John Cardiovascular Medicine Inc, an internist established in Tulsa, Oklahoma operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1790717270 assigned on July 2006. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Lex Anderson (Vice-president)

NPI
1790717270
Provider Name
ST JOHN CARDIOVASCULAR MEDICINE INC
Entity Type
Organization
Location Address
1923 E 21ST ST SUITE 200 TULSA, OK 74114
Location Phone
(918) 744-6966
Location Fax
(918) 744-9642
Mailing Address
1923 E 21ST ST SUITE 200 TULSA, OK 74114
Mailing Phone
(918) 744-6966
Mailing Fax
(918) 744-9642
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2006
Last Update Date
11-29-2007
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An internist like St John Cardiovascular Medicine Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LEX ANDERSON

Authorized Official Title
VICE-PRESIDENT
Authorized Official Phone
(918) 744-3674

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DE4213OTHER (01)OKRR MEDICARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790717270
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718014114214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 1 + 1 + 4 + 2 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1790717270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346274990 WILLIAM BURNETT MD
Individual
Internal Medicine (Cardiovascular Disease)1923 E 21ST ST SUITE 200
TULSA, OK 74114
(918) 744-6966
1629299987 KRISTEN MICHELLE FLOYD RD, LD
Individual
Dietitian, Registered (Nutrition, Renal)1923 E 21ST ST
TULSA, OK 74114
(918) 744-3544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790717270, enumerated in the NPI registry as an "organization" on July 07, 2006

The provider is located at 1923 E 21st St Suite 200 Tulsa, Ok 74114 and the phone number is (918) 744-6966

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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