OrganizationActive
St. John Dialysis, LLC
NPI 1639255243 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sapulpa, OK
Provider details
- NPI number
- 1639255243
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- St. John Medical Center
- Organization subpart
- Yes
- Authorized official
- Sr. M. Therese Gottschalk, President/Chief Executive Officer(918) 744-2180
- License
- 2265 (OK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1013 E Cleveland Ave
Sapulpa, OK 74066-4516
Phone: (918) 227-3351
Street-level locationGet directions
Mailing address
1923 S Utica Ave
Tulsa, OK 74104-6520
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2007-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.