Midtown Tulsa Pediatric Group PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MIDTOWN TULSA PEDIATRIC GROUP PLLC

Practice address

1724 S Harvard Ave
Tulsa, OK 74112-6826

Phone

(918) 740-1384

NPI assigned

Nov 28, 2019

Organization subpart

No

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

Authorized official

Name

Ryan DunlapNPI 1336642461

Title

Office Manager

Phone

(918) 740-1384

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Ryan Dunlap

  • Durable Medical Equipment & Medical Supplies
  • Tulsa, OK
  • NPI 1336642461
  NPD (past) Authorized official

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

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1073150835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 S CINCINNATI AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741126826",
            "telephone_number": "918-740-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN TULSA PEDIATRIC GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-28",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-740-1384"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "midtowntulsapediatricgroup@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1724 S Harvard Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741126826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Midtown Surgical and Skin Institute PLLC
• Midwest Neuro Solutions, PLC
• Midwest Wellness and Wound Care LLC
• Midwest Wellness and Wound Care Medical PC
• Dorothea Jean Mies, PA-C
• Seth Migdalski, MD

• 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 Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.