Young Peoples Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1205997582 Issued in OK

Legal business name

YOUNG PEOPLES CLINIC

Practice address

3401 E 21St St
Tulsa, OK 74114-1958

Phone

(918) 745-0501

Fax

(918) 747-9778

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Miriam V Mills, MD

Title

Pediatrician

Phone

(918) 745-0501

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Rebecca J. Berman, MSN, APRNBC

  • Pediatric Nurse Practitioner
  • Jenks, OK
  • NPI 1174684476
  NPD (past)
• Lisa E Hart, DO

  • Pediatrics Physician
  • Jenks, OK
  • NPI 1053395327
  NPD (past)
• Jacqlyn Nicole Hurst, APRN-PNP

  • Pediatric Nurse Practitioner
  • Jenks, OK
  • NPI 1124821202
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1295929024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141958",
            "telephone_number": "918-745-0501",
            "fax_number": "918-747-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141958",
            "telephone_number": "918-745-0501",
            "fax_number": "918-747-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PEOPLES CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "918-745-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "1205997582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara York
• Theresa Marie York, CSFA
• Youfirst Medical
• Kari Elizabeth Youman, M.D.
• Hannah Owen Youmans, DO
• Kimberly D Young-Collogan
• Abby Renee' Young, D.D.S.
• Alec Young
• Alexis Young
• Allynn B Young, MS

• 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 Sep 5, 2007; 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.