Organization Active NPI

Strawberry Hill Pediatrics, P.C,

  • Primary Care Clinic/Center
  • Tulsa, OK
National Provider Identifier
1144527714
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2099 Issued in OK
Legal business name
STRAWBERRY HILL PEDIATRICS, P.C,
Practice address
2227 S Garnett Rd
Suite 101
Tulsa, OK 74129-5115
Phone
(918) 622-1994
Fax
(918) 270-1958
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
William Richard Kennedy, D.O.
Title
President
Phone
(918) 622-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2099 OK Primary

Addresses

Primary practice location

2227 S Garnett Rd
Suite 101
Tulsa, OK 74129-5115

Mailing address

2227 S Garnett Rd
Suite 101
Tulsa, OK 74129-5119
Phone (918) 622-1994

Other identifiers 1

IdentifierTypeStateIssuer
200421520AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1144527714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 S GARNETT RD",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295119",
            "telephone_number": "918-622-1994",
            "fax_number": "918-270-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 S GARNETT RD",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295115",
            "telephone_number": "918-622-1994",
            "fax_number": "918-270-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAWBERRY HILL PEDIATRICS, P.C,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-622-1994",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "2099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.