Kenny Susanto has Neurology as his primary medical specialty. Their primary office is: 2000 S Wheeling Ave in Tulsa, Oklahoma.
There are 2 additional office locations for Kenny Susanto that can be viewed towards the end of their profile.
They're a part of the: St John Physicians Inc medical group which has around 222 members. You can call their office at 918-748-7598 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 2012 (around 12 years of experience). They are listed as doing telehealth appointments.
Kenny Susanto
St John Physicians Inc
2000 S Wheeling Ave
Tulsa, Oklahoma 74104
918-748-7598
Phone: 918-748-7598
Enter a starting address:
Medical School: Sorry, his university is not listed
Graduation Year: 2012
The Primary Medical Specialty for Kenny Susanto is listed as: Neurology
Approximate Years of Experience: 12
PAC (PECOS ID)#: 1254758410
NPI #: 1255783270
NPI Created On: 07/02/2016
NPI Last Updated Listed as: 06/27/2022
Primary Taxonomy Code: 2084N0400X
License Number:
1.065004
Listed Gender: Male
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $10
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 792960489
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: HYPERHYDROSIS
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $125
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 792960491
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: NEUROSCIENCE
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $10
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 792960493
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: HYPERHYDROSIS
Name of Drug #1: BOTOX
Open Associated Drug #1: 0023-1145-01
Payments Total: $5
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796122117
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: UBRELVY
Open Associated Drug #1: 0023-6501-10
Payments Total: $123
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796122133
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: UBRELVY
Open Associated Drug #1: 0023-6501-10
Payments Total: $8
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796122121
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: UBRELVY
Open Associated Drug #1: 0023-6501-10
Payments Total: $6
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796122125
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: UBRELVY
Open Associated Drug #1: 0023-6501-10
Payments Total: $13
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 796122129
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: UBRELVY
Open Associated Drug #1: 0023-6501-10
Payments Total: $30
Number of Payments:: 1
Form of Payment: In-kind items and services
Travel and Lodging City: Minneapolis
Travel and Lodging State: MN
Travel and Lodging Country: United States
Record ID:: 827245143
Being Disputed:: No
Product Related: Yes
Drug or Biological: Device
Product Category #1: Deep Brain Neurostimulation
Name of Drug #1: Percept
Payments Total: $438
Number of Payments:: 1
Form of Payment: In-kind items and services
Travel and Lodging City: Minneapolis
Travel and Lodging State: MN
Travel and Lodging Country: United States
Record ID:: 827245141
Being Disputed:: No
Product Related: Yes
Drug or Biological: Device
Product Category #1: Deep Brain Neurostimulation
Name of Drug #1: Percept
1. St John Physicians Inc
1705 E 19th St
Tulsa, OK 74104
Group Members: 222
Enter a starting address:
2. Select Physical Therapy Holdings Inc
1623 S Utica Ave
Tulsa, OK 74104
Group Members: 1,829
Phone: 918-748-7598
Enter a starting address:
6161 S Yale Ave
Tulsa, OK
Warren Clinic Inc
6600 S Yale Ave
Tulsa, OK
Warren Clinic Inc
1717 B S Utica Ave
Tulsa, OK
1623 S Utica Ave
Tulsa, OK
Select Physical Therapy Holdings Inc
2424 E 21st St
Tulsa, OK
Neurologic Services Of Oklahoma Llc
1923 S Utica Ave
Tulsa, OK
St John Physicians Inc
1923 S Utica Ave
Tulsa Ok 74104-6520
St John Physicians Inc
Neurology
1705 E 19th St
Tulsa Ok 74104-5410
St John Physicians Inc
Neurology
1705 E 19th St
Tulsa Ok 74104-5410
St John Physicians Inc
Family Practice
1705 E 19th St
Tulsa Ok 74104-5410
St John Physicians Inc
Physician Assistant
3550 E Frank Phillips Blvd
Bartlesville Ok 74006-2411
St John Physicians Inc
Infectious Disease
1000 W Boise Circle
Broken Arrow Ok 74012-4900
St John Physicians Inc
Infectious Disease
View all 222 members of St John Physicians Inc medical group