Organization Active NPI

Pediatrics of Bartlesville

  • Pediatrics Physician
  • Bartlesville, OK
National Provider Identifier
1164545216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRICS OF BARTLESVILLE
Practice address
3400 E Frank Phillips Blvd
Suite302
Bartlesville, OK 74006-2495
Phone
(918) 331-2468
Fax
(918) 331-2469
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond M Harris, M.D.
Title
General Partner
Phone
(918) 331-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3400 E Frank Phillips Blvd
Suite302
Bartlesville, OK 74006-2495

Mailing address

3400 E Frank Phillips Blvd
Suite302
Bartlesville, OK 74006-2495
Phone (918) 331-2468

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0870162Pediatrics of Bartlesville3400 SE Frank Phillips, Suite 302, Bartlesville, OK 74006Provider-performed microscopyJul 29, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8867/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164545216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE302",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2468",
            "fax_number": "918-331-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE302",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062495",
            "telephone_number": "918-331-2468",
            "fax_number": "918-331-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS OF BARTLESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "918-331-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • 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.