Newborn Specialists of Tulsa, PC

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

NEWBORN SPECIALISTS OF TULSA, PC

Doing business as

Next Step Developmental Clinic

Practice address

1805 E 15TH St
Tulsa, OK 74104-4610

Phone

(918) 579-5402

Fax

(918) 579-5404

NPI assigned

Feb 27, 2012

Organization subpart

Yes

Parent organization

NEWBORN SPECIALISTS OF TULSA, P.C.As reported in NPPES

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

Authorized official

Name

Ms. Rose Wyrick, CAPPM

Title

Administrator

Phone

(918) 579-5402

Specialties & licenses 1

Addresses

Other names 1

• Next Step Developmental Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Newborn Specialists of Tulsa, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Tulsa, OK
  • NPI 1497793335

  O20070314000219

  Same enrollment

Part of

Newborn Specialists of Tulsa PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Newborn Specialists of Tulsa, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Tulsa, OK
  • NPI 1497793335
  NPPES parent name

Practitioners 1

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

• Lisa Owens, DO

  • Neonatal-Perinatal Medicine Physician
  • Tulsa, OK
  • NPI 1740286848
  NPD

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1235403023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700930",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741700930",
            "telephone_number": "918-579-5402",
            "fax_number": "918-579-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044610",
            "telephone_number": "918-579-5402",
            "fax_number": "918-579-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBORN SPECIALISTS OF TULSA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWBORN SPECIALISTS OF TULSA, P.C.",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "WYRICK",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-579-5402",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAPPM"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Step Developmental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Marjean Newberry, OTR
• Shannon Ashley Newberry, COTA
• Stacy Lynn Newberry, APRN, CNS
• Venus Dawn Newbill, RN
• Newborn Specialists of Tulsa, P.C.
• Robert Cade Newbrand
• Scott A Newbrough, MD
• Karen Elizabeth Newbury, LPC
• Jacob Stewart Newby, AT
• Tara Cheree Newby

• Developmental - Behavioral Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Developmental - Behavioral Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.