NPIMap

Organization Active NPI

Planned Parenthood of Arkansas and Eastern Oklahoma Pediatrics

  • Pediatrics Physician
  • Tulsa, OK
National Provider Identifier
1356351027
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA PEDIATRICS
Practice address
205 E Pine St Ste 5
Tulsa, OK 74106-4855
Phone
(918) 587-1101
Fax
(918) 592-7610
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Victoria Parks
Title
Director Health Services Op
Phone
(918) 587-4621

Specialties & licenses 1

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

Addresses

Primary practice location

205 E Pine St Ste 5
Tulsa, OK 74106-4855

Mailing address

4401 W 109TH St Ste 200
Overland Park, KS 66211-1303
Phone (855) 841-7526

Other identifiers 1

IdentifierTypeStateIssuer
100728930FMedicaidOK

Other names 1

  • PPAEO Pediatrics Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Arkansas and Eastern Oklahoma Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1356351027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W 109TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111303",
            "telephone_number": "855-841-7526",
            "fax_number": "918-587-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PINE ST STE 5",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064855",
            "telephone_number": "918-587-1101",
            "fax_number": "918-592-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR HEALTH SERVICES OP",
        "authorized_official_telephone_number": "918-587-4621"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728930F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPAEO Pediatrics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PPAEO Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2019; 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.