Active NPI
Strawberry Hill Pediatrics, P.C,
- Primary Care Clinic/Center
- Tulsa, OK
National Provider Identifier
1144527714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 2099
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200421520A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI 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.