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ST. JOHN DIALYSIS, LLC
NPI 1902984156
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tulsa, OK

Active since November 02, 2006
1923 EAST 21ST STREET, TULSA, OK 74114(918) 744-3535 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About St. John Dialysis, Llc NPPES

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

ST. JOHN DIALYSIS, LLC (NPI 1902984156) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tulsa, Oklahoma and active in the NPI registry since November 2006. The organization lists Sr. M. Therese Gottschalk, President/chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1902984156
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameST. JOHN DIALYSIS, LLC
Location Address1923 EAST 21ST STREETTulsa, OK 74114-1402
Mailing Address1923 S Utica AveTulsa, OK 74104-6520 · (918) 744-2345
Phone(918) 744-3535
Organization SubpartYesParent: St. John Medical Center
Authorized OfficialSr. M. Therese GottschalkPresident/chief Executive Officer · (918) 744-2180
Enumeration DateNovember 2, 2006
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1902984156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in OK · 2265
1923 EAST 21ST STREET, Tulsa, OK 74114
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Other Identifiers 2

Other000370114002OK · Bcbs
Medicare OSCAR/certification372321OK

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 St. John Dialysis, LLC's NPI number?

The NPI number for St. John Dialysis, LLC is 1902984156. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is St. John Dialysis, LLC located?

St. John Dialysis, LLC is located at 1923 East 21st Street, Tulsa, OK 74114. The listed phone number is (918) 744-3535.

What is St. John Dialysis, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for St. John Dialysis, LLC was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.