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JACK SUNTKEN
NPI 1639912595
Emergency Medicine in Tulsa, OK

Active since June 17, 2024
1111 W 17TH ST, TULSA, OK 74107(918) 584-4611 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jack Suntken NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK SUNTKEN (NPI 1639912595) is an individual emergency medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (1639912595) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1639912595
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACK SUNTKEN
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address2893 W 112th St SJenks, OK 74037
Phone(918) 584-4611
Sole ProprietorYes
Enumeration DateJune 17, 2024
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1639912595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 1639912595
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1111 W 17TH ST, Tulsa, OK 74107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Suntken's NPI number?

The NPI number for Jack Suntken is 1639912595. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Jack Suntken located?

Jack Suntken practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 584-4611.

What is Jack Suntken's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Jack Suntken was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.