Pediatric and Adolescent Care, LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC AND ADOLESCENT CARE, LLP

Practice address

2000 S Wheeling Ave
Suite 300
Tulsa, OK 74104-5639

Phone

(918) 747-7544

Fax

(918) 747-3952

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie J Bailey

Title

Business Office Supervisor

Phone

(918) 747-7544

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherri M Gordon, M D

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1083648356
  NPD (past)
• James Warren Hendricks, M.D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1376516088
  NPD (past)
• Jessica Keller, MD

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1841482916
  NPD (past)
• Claire Lukeman Mattocks, D.O.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1225320328
  NPD (past)
• Kenneth R Setter, M. D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1033166608
  NPD (past)
• Sang Sandra Wan, M. D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1629024781
  NPD (past)
• Donald F Zetik Jr., M. D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1295781342
  NPD (past)
• Gabriel Thomas Griffin, MD

  • Student in an Organized Health Care Education/Training Program
  • Little Rock, AR
  • NPI 1902172703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023065695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE",
            "address_2": "SUITE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045639",
            "telephone_number": "918-747-7544",
            "fax_number": "918-747-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE",
            "address_2": "SUITE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045639",
            "telephone_number": "918-747-7544",
            "fax_number": "918-747-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT CARE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "918-747-7544"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuj V Peddada, M.D.
• Brandon Pedersen
• Morna Ruth Pederson-Rambo, MA, LPC, LMFT
• Paige Pederson
• Vanessa Pederson, B.A.D.O, B.S.O.
• Pediatric Cardiology of Oklahoma P.L.L.C.
• Pediatric Dental Group II, LLC
• Pediatric Dental Group, LLC
• Pediatric Dentistry of Tulsa P.C.
• Pediatric Occupational Therapy, LLC

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.