Peace of Mind Pediatrics PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

29433 Issued in OK

Legal business name

PEACE OF MIND PEDIATRICS PLLC

Practice address

5476 Main Street
104
Del City, OK 73115

Phone

(405) 602-5166

Fax

(405) 602-5461

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Noor Jihan Abdul-Haqq, MDNPI 1659528750

Title

Owner

Phone

(405) 602-5166

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

Peace of Mind Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peace of Mind Pediatrics PLLC

  • Pediatrics Physician
  • Oklahoma City, OK
  • NPI 1467039669
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11266/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Noor Jihan Abdul-Haqq, M.D.

  • Pediatrics Physician
  • Del City, OK
  • NPI 1659528750
  NPD Authorized official
• Christina Wiley, DNP, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Frederick, MD
  • NPI 1770236077
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1326425588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5476 MAIN STREET",
            "address_2": "SUITE 104",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155112",
            "telephone_number": "405-602-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5476 MAIN STREET",
            "address_2": "104",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "73115",
            "telephone_number": "405-602-5166",
            "fax_number": "405-602-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "ABDUL-HAQQ",
        "authorized_official_first_name": "NOOR JIHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-602-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "29433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200455340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Pan, PHARMD
• Cristal Parkinson
• Olivia Joy Parsons
• Taren Patterson
• Paulette Jobe LCSW
• Janet Pennanen
• Emma K Perez, COTA/L
• Jordan Permaul, APRN CNP
• Fontella Phillips-Reid, HOMEHEALTH, CNA
• Physicians Choice Dialysis of Midwest City LLC

• Primary Care Clinic/Center in Del City, OK
• Providers in Del City, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.