Pediatric Specialists of Tulsa

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

21759 Issued in OK

Legal business name

PEDIATRIC SPECIALISTS OF TULSA

Practice address

7412 S Yale Ave
Tulsa, OK 74136-7029

Phone

(918) 523-5437

Fax

(918) 523-5438

NPI assigned

May 8, 2013

Organization subpart

No

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

Authorized official

Name

Stacy M O'Sullivan, MDNPI 1457348344

Title

Owner

Phone

(918) 523-5437

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 5

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

• Stacy O'Sullivan, M.D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1457348344
  NPD (past) Authorized official
• Candace Smith Joiner, ARNP

  • Pediatric Nurse Practitioner
  • Tulsa, OK
  • NPI 1912937954
  NPD (past)
• Uyen P Le, M. D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1790728111
  NPD (past)
• Lauren Marie Hayes, M.D.

  • Pediatrics Physician
  • St. Louis, MO
  • NPI 1043656119
  NPD (past)
• Madelyn Kennedy, CPNP-PC

  • Pediatric Nurse Practitioner
  • Kaufman, TX
  • NPI 1417345729
  NPD (past)

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1457796039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367029",
            "telephone_number": "918-523-5437",
            "fax_number": "918-523-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367029",
            "telephone_number": "918-523-5437",
            "fax_number": "918-523-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPECIALISTS OF TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "O'SULLIVAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-523-5437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "21759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry of Tulsa P.C.
• Pediatric Occupational Therapy, LLC
• Pediatric Ophthalmology, PC
• Pediatric Ophthalmology, PC
• Pediatric Respiratory Sleep Services
• Pediatric Surgery, Inc.
• David W Pedicord, DDS MDS
• Pedistat, PLLC
• Rebecca D Peel
• Avery Peelen, CCC-SLP

• 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 Jan 30, 2014; 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.